Active NPI
Linda Diane Moroney, ARNP
- Family Nurse Practitioner
- Seattle, WA
National Provider Identifier
1750722385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60391140
- Practice address
- 1633 Westlake Ave N
Suite 105
Seattle, WA 98109-6227 - Phone
- (206) 802-9533
- Fax
- (866) 675-1604
- NPI assigned
- Jul 11, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60391140 | WA | Primary |
Addresses
Primary practice location
1633 Westlake Ave N
Suite 105
Seattle, WA 98109-6227
Mailing address
24338 N McKenzie Dr
Rathdrum, ID 83858-7390
Phone (509) 496-2239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140709000423 | WA | Order and Referring Only - Nurse Practitioner | 3072738939 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375315200000",
"number": "1750722385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24338 N MCKENZIE DR",
"city": "RATHDRUM",
"state": "ID",
"postal_code": "838587390",
"telephone_number": "509-496-2239",
"fax_number": "855-828-3184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 WESTLAKE AVE N",
"address_2": "SUITE 105",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981096227",
"telephone_number": "206-802-9533",
"fax_number": "866-675-1604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORONEY",
"first_name": "LINDA",
"middle_name": "DIANE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-11",
"last_updated": "2013-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60391140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.