Stacia Moffitt

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

RN9265819 Issued in FL

Practice address

709 Mandalay Grove CT
Merritt Island, FL 32953-8001

Phone

(321) 537-0004

NPI assigned

Feb 25, 2021

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

State licenses

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1699369124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 MANDALAY GROVE CT",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329538001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 MANDALAY GROVE CT",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329538001",
            "telephone_number": "321-537-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFITT",
        "first_name": "STACIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "FL",
            "license": "RN9265819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Bradley Mitchell, RDMS, RVT, RT
• Roberto Mixco, MD
• Mobile Mind and Body
• Theresa A Moccio, D.P.T.
• Mark E. Moffitt, D.M.D.
• Laura Lynn Moheky
• Moms & Minis Wellness Co
• Shandy M. Monborne, LMT
• Dania Marie Montejo, D.D.S
• Alex Antonio Morales-Caban, M.D.

• Lactation Consultant (Registered Nurse) in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Lactation Consultant (Registered Nurse) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.