Active NPI
Maura Margaret Moes, RN, IBCLC
- Registered Nurse
- Vermilion, OH
National Provider Identifier
1669242533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.357406
- Practice address
- 5653 Ohio St
Vermilion, OH 44089-1109 - Phone
- (440) 723-1224
- NPI assigned
- Jan 3, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | L-83609 | OH | |
| Registered Nurse | 163W00000X | RN.357406 | OH | Primary |
Addresses
Primary practice location
5653 Ohio St
Vermilion, OH 44089-1109
Mailing address
5653 Ohio St
Vermilion, OH 44089-1109
Phone (440) 723-1224
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.357406 | OH | MD | Registered Nurse |
| L-83609 | OH | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milk Guide Lactation LLC | Lactation Consultant | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Mishawaka, IN
- NPI 1003407230
Lactation Consultant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1669242533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5653 OHIO ST",
"city": "VERMILION",
"state": "OH",
"postal_code": "440891109",
"telephone_number": "440-723-1224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5653 OHIO ST",
"city": "VERMILION",
"state": "OH",
"postal_code": "440891109",
"telephone_number": "440-723-1224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOES",
"first_name": "MAURA",
"middle_name": "MARGARET",
"credential": "RN, IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-03",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "OH",
"license": "L-83609",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.357406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vermilion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.