Individual provider Active NPI

Martha Moon, RN, FNP

  • Family Nurse Practitioner
  • Portland, TX
National Provider Identifier
1730106360
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
581447 Issued in TX
Practice address
443 Houston St
Portland, TX 78374-1643
Phone
(361) 977-2059
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 581447 TX Primary

Addresses

Primary practice location

443 Houston St
Portland, TX 78374-1643

Mailing address

PO Box 849881
Dallas, TX 75284-0001
Phone (866) 916-5259

Other practice location 1

921 Houston St
Portland, TX 78374-2023
Phone (361) 977-2053

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, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
MCJV Medical Partners, LLC CurrentSince Sep 21, 2025 Accepting new patients
Bayside Emergency Physicians, LLP Nurse Practitioner Past Accepting new patients
Bayside Emergency Physicians, LLP Nurse Practitioner Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Bayside Emergency Pyhsicians, LLP Nurse Practitioner Past Accepting new patients

Locations

443 Houston St
Portland, TX 78374
Phone (361) 977-2059

921 Houston St
Portland, TX 78374
Phone (361) 977-2053

Interoperability endpoints

  • Direct secure messaging: martha.moon@3985.securemail.prognocis.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1730106360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849881",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840001",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 HOUSTON ST",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783741643",
            "telephone_number": "361-977-2059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 Houston St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "TX",
            "postal_code": "783742023",
            "country_code": "US",
            "telephone_number": "361-977-2053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "MARTHA",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "581447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.