Individual provider Active NPI

Patricia Lynne Moriarty, APRN

  • Nurse Practitioner
  • Storrs, CT
National Provider Identifier
1760512677
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
003008 Issued in CT
Practice address
234 Glenbrook Road
Unit 2011 Univesity of Connecticut Student Health SVCS
Storrs, CT 06269-2011
Phone
(860) 486-4700
Fax
(860) 486-0004
NPI assigned
Mar 7, 2007
Last updated
Dec 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 003008 CT Primary

Addresses

Primary practice location

234 Glenbrook Road
Unit 2011 Univesity of Connecticut Student Health SVCS
Storrs, CT 06269-2011

Mailing address

234 Glenbrook Road
Univesity of Connecticut Student Health Services
Storrs, CT 06269-2011
Phone (860) 486-4700

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
003008CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Student Health and Wellness Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1760512677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 GLENBROOK ROAD",
            "address_2": "UNIVESITY OF CONNECTICUT STUDENT HEALTH SERVICES",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062692011",
            "telephone_number": "860-486-4700",
            "fax_number": "860-486-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 GLENBROOK ROAD",
            "address_2": "UNIT 2011 UNIVESITY OF CONNECTICUT STUDENT HEALTH SVCS",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062692011",
            "telephone_number": "860-486-4700",
            "fax_number": "860-486-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIARTY",
        "first_name": "PATRICIA",
        "middle_name": "LYNNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "003008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Storrs, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.