Active NPI
Mary Triche Moron, N.P.
- Pediatric Nurse Practitioner
- Lafayette, LA
National Provider Identifier
1659598795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP03778
- Practice address
- 1002 12TH St
Lafayette, LA 70501-6224 - Phone
- (337) 534-0107
- Fax
- (337) 534-0184
- NPI assigned
- Apr 19, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP03778 | LA | Primary |
Addresses
Primary practice location
1002 12TH St
Lafayette, LA 70501-6224
Mailing address
806 Jefferson Ter
New Iberia, LA 70560-5727
Phone (337) 367-3992
Other practice location 1
108 Hampshire St
Youngsville, LA 70592-5476
Phone (337) 258-4158
Other practice location 2
806 Jefferson Ter
New Iberia, LA 70560-5727
Phone (337) 365-4945
Other practice location 3
1004 Surrey St
Lafayette, LA 70501-6143
Phone (337) 456-6768
Other practice location 4
317 Dernier St
Saint Martinville, LA 70582-3809
Phone (337) 342-2566
Other practice location 5
1009 Charity St
Abbeville, LA 70510-5302
Phone (337) 893-3443
Other practice location 6
567 Walker St
Merryville, LA 70653-3040
Phone (337) 825-1728
Other practice location 7
298 Nolan Trace Pkwy
Leesville, LA 71446
Phone (337) 392-0110
Other practice location 8
1050 N Robinson St
Many, LA 71449-3536
Phone (318) 256-8150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1140082 | Medicaid | LA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1659598795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 JEFFERSON TER",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705605727",
"telephone_number": "337-367-3992",
"fax_number": "337-367-3994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 12TH ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705016224",
"telephone_number": "337-534-0107",
"fax_number": "337-534-0184"
}
],
"practiceLocations": [
{
"address_1": "108 Hampshire St",
"address_purpose": "LOCATION",
"city": "Youngsville",
"state": "LA",
"postal_code": "705925476",
"country_code": "US",
"telephone_number": "337-258-4158",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "806 Jefferson Ter",
"address_purpose": "LOCATION",
"city": "New Iberia",
"state": "LA",
"postal_code": "705605727",
"country_code": "US",
"telephone_number": "337-365-4945",
"fax_number": "337-367-3917",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1004 Surrey St",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "LA",
"postal_code": "705016143",
"country_code": "US",
"telephone_number": "337-456-6768",
"fax_number": "337-456-8690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "317 Dernier St",
"address_purpose": "LOCATION",
"city": "Saint Martinville",
"state": "LA",
"postal_code": "705823809",
"country_code": "US",
"telephone_number": "337-342-2566",
"fax_number": "337-342-2533",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1009 Charity St",
"address_purpose": "LOCATION",
"city": "Abbeville",
"state": "LA",
"postal_code": "705105302",
"country_code": "US",
"telephone_number": "337-893-3443",
"fax_number": "337-893-3439",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "567 Walker St",
"address_purpose": "LOCATION",
"city": "Merryville",
"state": "LA",
"postal_code": "706533040",
"country_code": "US",
"telephone_number": "337-825-1728",
"fax_number": "337-825-1229",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "298 Nolan Trace Pkwy",
"address_purpose": "LOCATION",
"city": "Leesville",
"state": "LA",
"postal_code": "71446",
"country_code": "US",
"telephone_number": "337-392-0110",
"fax_number": "337-392-0111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1050 N Robinson St",
"address_purpose": "LOCATION",
"city": "Many",
"state": "LA",
"postal_code": "714493536",
"country_code": "US",
"telephone_number": "318-256-8150",
"fax_number": "318-256-8136",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORON",
"first_name": "MARY",
"middle_name": "TRICHE",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "LA",
"license": "AP03778",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1140082",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.