Individual provider Active NPI

Katie Moran, FNP

  • Family Nurse Practitioner
  • Riverview, FL
National Provider Identifier
1639767908
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11012356 Issued in FL
Practice address
5905 US 301 S
Riverview, FL 33578-3800
Phone
(727) 822-7115
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Urgent Care, LLC. 91 clinicians

Practice addresses (Care Compare)

10125 Big Bend Rd
Riverview, FL 33578-7417
Phone (813) 605-3200

17512 Dona Michelle Dr
Tampa, FL 33647-3265
Phone (813) 533-3494

2331 4TH St N
St Petersburg, FL 33704-2801
Phone (727) 914-8566

2442 Bloomingdale Ave
Valrico, FL 33596-6403
Phone (813) 586-8686

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210802002333 FL Practitioner - Nurse Practitioner 4789090473 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9563869FLMDRegistered Nurse

Practice roles (4 of 6)

OrganizationSpecialtyStatusNew patients
Baycare Urgent Care, LLC CurrentSince Jan 23, 2023 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Jan 23, 2023 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Jan 23, 2023 Accepting new patients
Baycare Urgent Care, LLC Current Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

11178 State Road 54
Ste B
New Port Richey, FL 34655
Phone (727) 841-6609

4821 US Highway 19
Ste 5
New Port Richey, FL 34652
Phone (727) 851-9650

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

2331 4th St N
St Petersburg, FL 33704
Phone (727) 593-9848

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: katie.moranaprn@direct.mybaycare.org

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9563869 FL
Family Nurse Practitioner 363LF0000X APRN11012356 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

5905 US 301 S
Riverview, FL 33578-3800

Mailing address

12103 Night Jasmine CV
Riverview, FL 33579-9319
Phone (954) 806-8267

Other practice location 1

11178 State Road 54 Ste B
New Port Richey, FL 34655-2266
Phone (727) 841-6609

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address Katie.MoranAPRN@direct.mybaycare.org Health Information Exchange (HIE) BayCare Urgent Care, LLC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 5, 2023.

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1639767908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12103 NIGHT JASMINE CV",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335799319",
            "telephone_number": "954-806-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 US 301 S",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783800",
            "telephone_number": "727-822-7115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11178 State Road 54 Ste B",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346552266",
            "country_code": "US",
            "telephone_number": "727-841-6609",
            "fax_number": "727-333-6352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "KATIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9563869",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Katie.MoranAPRN@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Urgent Care, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.