Active NPI
Laurie Moreno, RN
- Psychiatric/Mental Health Nurse Practitioner
- Akron, OH
National Provider Identifier
1639673262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0037716
- Practice address
- 10 Penfield Ave
Akron, OH 44310-2912 - Phone
- (330) 253-3100
- NPI assigned
- Mar 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN.397995 | OH | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0037716 | OH | Primary |
Addresses
Primary practice location
10 Penfield Ave
Akron, OH 44310-2912
Mailing address
340 S Broadway St
Akron, OH 44308-1529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
45 Arch St
Akron, OH 44304-1403
525 E Market St
Akron, OH 44304-1619
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.397995 | OH | MD | Psychiatric/Mental Health Registered Nurse |
| 0037716 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summa Physicians LLC | Current | Accepting new patients | |
| Summa Physicians LLC | Current | Accepting new patients | |
| Summa Physicians LLC | Current | Accepting new patients |
Locations
525 E Market St
Akron, OH 44304
Phone (330) 375-6350
1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1639673262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 S BROADWAY ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443081529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PENFIELD AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443102912",
"telephone_number": "330-253-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "LAURIE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-20",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "OH",
"license": "RN.397995",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "0037716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.