Individual provider Active NPI

Laura L Moffatt, ARNP, LMT,CCRN, CPAN

  • Critical Care Medicine Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1770640807
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
ARNP1472172 Issued in FL
Practice address
2520 NE 7TH St
Ocala, FL 34470-6315
Phone
(352) 369-9960
NPI assigned
Jan 1, 2007
Last updated
Jun 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA33334 FL
Critical Care Medicine Nurse Practitioner 363LC0200X ARNP1472172 FL Primary

Addresses

Primary practice location

2520 NE 7TH St
Ocala, FL 34470-6315

Mailing address

2520 NE 7TH St
Ocala, FL 34470-6315
Phone (352) 369-9960

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
MA33334FLMDMassage Therapist
ARNP1472172FLMDCritical Care Medicine Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1770640807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 NE 7TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344706315",
            "telephone_number": "352-369-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 NE 7TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344706315",
            "telephone_number": "352-369-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFATT",
        "first_name": "LAURA",
        "middle_name": "L",
        "credential": "ARNP, LMT,CCRN, CPAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA33334",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "FL",
            "license": "ARNP1472172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.