Individual provider Active NPI

Laura Moore, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1639739212
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.024972 Issued in OH
Practice address
3909 Woodley Rd Ste 300
Toledo, OH 43606-1100
Phone
(419) 475-4449
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN.448357 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.024972 OH Primary

Addresses

Primary practice location

3909 Woodley Rd Ste 300
Toledo, OH 43606-1100

Mailing address

3909 Woodley Rd
Toledo, OH 43606-1169
Phone (419) 725-3330

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190917003415 OH Practitioner - Nurse Practitioner 5496085482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HarborGroup PAC ID 8325931181, 58 clinicians

Practice addresses (Care Compare)

3909 Woodley Rd
Toledo, OH 43606-1169
Phone (419) 475-4449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.448357OHMDPsychiatric/Mental Health Registered Nurse
APRN.CNP.024972OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor CurrentSince Aug 26, 2019 Accepting new patients
Keystone Mental Health, Inc. CurrentSince Jul 16, 2021 Accepting new patients
Harbor Past Accepting new patients

Locations

7625 Hospital Dr
Dublin, OH 43016
Phone (614) 414-2277

123 22nd St
Toledo, OH 43604
Phone (419) 241-6191

3909 Woodley Rd
Ste 300
Toledo, OH 43606
Phone (419) 291-6720

6629 W Central Ave
Ste 1
Toledo, OH 43617
Phone (419) 517-1758

3909 Woodley Rd
Toledo, OH 43606
Phone (419) 725-3330

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1639739212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 WOODLEY RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061169",
            "telephone_number": "419-725-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 WOODLEY RD STE 300",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061100",
            "telephone_number": "419-475-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LAURA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN.448357",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.024972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.