Active NPI
Gwendolyn Lunell Hooper, APRN
- Acute Care Nurse Practitioner
- Tuscaloosa, AL
National Provider Identifier
1659339372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 3054P
- Practice address
- 1780 McFarland Blvd N
Tuscaloosa, AL 35406-2136 - Phone
- (205) 345-7351
- NPI assigned
- May 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 3054P | KY | Primary |
Addresses
Primary practice location
1780 McFarland Blvd N
Tuscaloosa, AL 35406-2136
Mailing address
PO Box 24222
Lexington, KY 40524-4222
Phone (859) 271-3581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78014560 | Medicaid | KY |
Other names 1
- Gwendolyn L Moffett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3054P | KY | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1659339372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24222",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405244222",
"telephone_number": "859-271-3581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 MCFARLAND BLVD N",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354062136",
"telephone_number": "205-345-7351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOPER",
"first_name": "GWENDOLYN",
"middle_name": "LUNELL",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KY",
"license": "3054P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78014560",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GWENDOLYN",
"last_name": "MOFFETT",
"middle_name": "L",
"credential": "NURSE PRACTITIONER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.