Active NPI
Lucille Moylan, NP
- Family Nurse Practitioner
- Lewes, DE
National Provider Identifier
1619901964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- LG0000728
- Practice address
- 33663 Bayview Medical Dr
Unit 1
Lewes, DE 19958-1663 - Phone
- (302) 645-3300
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | LG0000728 | DE | Primary |
Addresses
Primary practice location
33663 Bayview Medical Dr
Unit 1
Lewes, DE 19958-1663
Mailing address
33663 Bayview Medical Dr
Unit 1
Lewes, DE 19958-1663
Phone (302) 645-3300
Other names 1
- Lucille Rugulo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG0000728 | DE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Community Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1770531600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428451200000",
"number": "1619901964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33663 BAYVIEW MEDICAL DR",
"address_2": "UNIT 1",
"city": "LEWES",
"state": "DE",
"postal_code": "199581663",
"telephone_number": "302-645-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33663 BAYVIEW MEDICAL DR",
"address_2": "UNIT 1",
"city": "LEWES",
"state": "DE",
"postal_code": "199581663",
"telephone_number": "302-645-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYLAN",
"first_name": "LUCILLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2015-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG0000728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LUCILLE",
"last_name": "RUGULO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.