Active NPI
Katie Moran, FNP
- Family Nurse Practitioner
- Riverview, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11012356
- 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.
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- General Practice Physician
- New Port Richey, FL
- NPI 1629514070
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.
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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN9563869 | FL | MD | Registered Nurse |
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Urgent Care, LLC | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | 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
- katie.moranaprn@direct.mybaycare.org
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9563869 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN11012356 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.