Individual provider Active NPI

Natacha I Moorer, CRNP

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1760692891
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1012552 Issued in DC
Practice address
655 K St NW
Washington, DC 20001-2385
Phone
(186) 638-9727
NPI assigned
May 24, 2007
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1012552 DC Primary
Family Nurse Practitioner 363LF0000X R115333 MD

Addresses

Primary practice location

655 K St NW
Washington, DC 20001-2385

Mailing address

655 K St NW
Washington, DC 20001-2385

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

State licenses

LicenseStateTypeSpecialty
RN1012552DCMDFamily Nurse Practitioner
R115333MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prince George's County Health Department Current Accepting new patients

Locations

3003 Hospital Dr
Hyattsville, MD 20785
Phone (301) 583-3340

1701 McCormick Dr
Ste 102
Upper Marlboro, MD 20774

1701 McCormick Dr
Ste 120
Upper Marlboro, MD 20774

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1760692891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 K ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200012385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 K ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200012385",
            "telephone_number": "186-638-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORER",
        "first_name": "NATACHA",
        "middle_name": "I",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2024-03-06",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1012552",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R115333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.