Michelle Marie Moulton, RN,CMHN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

551539 Issued in NY

Practice address

12 N Park St
Seneca Falls, NY 13148-1437

Phone

(315) 568-9412

Fax

(315) 588-2441

NPI assigned

Nov 26, 2019

Last updated

Nov 26, 2019By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seneca Ontario Community Service

  • Adult Mental Health Clinic/Center
  • Seneca Falls, NY
  • NPI 1225400187
  NPD (past)

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1689210569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 N PARK ST",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131481437",
            "telephone_number": "315-568-9412",
            "fax_number": "315-588-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N PARK ST",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131481437",
            "telephone_number": "315-568-9412",
            "fax_number": "315-588-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "RN,CMHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "551539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "michelle.moulton@omh.ny.gov",
            "affiliation": "N",
            "endpointDescription": "michelle.moulton@omh.ny.gov",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "michelle.moulton@omh.ny.gov",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "michelle.moulton@omh.ny.gov",
            "address_1": "12 North park street",
            "city": "waterloo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "13165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Hirons
• Michael Andrew Mestan, DC
• Joseph A Miller, D.C.
• Rita Ann Montgomery, LPN
• Jamie Motley, D.C.
• Julie Rita Murante, LAC
• Matthew Murphy
• Andrea Alberto Nalli
• Peter George Nickless, D.C
• Richard David Norris, RPH

• Community Health Registered Nurse in Seneca Falls, NY
• Providers in Seneca Falls, NY by specialty
• Community Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.

Verify at the official NPI Registry.