Nicholle Rae Moritz

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

401 Broadway Ave
Pueblo, CO 81004-2127

Phone

(719) 505-5538

NPI assigned

Jun 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1639809452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 MORRISON AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051719",
            "telephone_number": "719-553-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BROADWAY AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042127",
            "telephone_number": "719-505-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORITZ",
        "first_name": "NICHOLLE",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Marie Moreschini, LCSW
• Richard Charl Moreschini, DDS
• Alethia E Morgan, MD
• Sarah Morgan, LCSW
• Karen S Morgenthaler, LCSW, LAC
• Elizabeth Dias Morphis
• Keith Morrill
• Benjamin Pearce Morris V, MSN
• Kenneth Morris, PT
• Donna Morrissey

• Behavior Technician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.