Individual provider Active NPI

Linda Diane Moroney, ARNP

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1750722385
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60391140 Issued in WA
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

Updated by the provider on Aug 1, 2013

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.