Individual provider Active NPI

Tracey Moreno-Silva, FNP

  • Primary Care Nurse Practitioner
  • Lumberton, NC
National Provider Identifier
1780131649
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0001189033 Issued in VA
Practice address
2116 N Cedar St
Lumberton, NC 28358-3928
Phone
(910) 674-3030
Fax
(910) 674-3051
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024173910 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0001189033 VA
Primary Care Nurse Practitioner 363LP2300X 0001189033 VA Primary

Addresses

Primary practice location

2116 N Cedar St
Lumberton, NC 28358-3928

Mailing address

2116 N Cedar St
Lumberton, NC 28358-3928
Phone (910) 674-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170209002033 VA Practitioner - Nurse Practitioner 1850674284 Reassigns benefits to 1 organization
I20200615003577 NC Practitioner - Nurse Practitioner 1850674284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2116 N Cedar St
Lumberton, NC 28358-3928
Phone (910) 674-3030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024173910VAMDFamily Nurse Practitioner
0001189033VAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chan M Park Family Practice CurrentSince Oct 27, 2024 Accepting new patients
Integrity Wellness Center CurrentSince May 18, 2020 Accepting new patients
Life Stages Inc. CurrentSince Jun 10, 2025 Accepting new patients

Locations

2116 N Cedar St
Lumberton, NC 28358
Phone (910) 674-3030

6460 Greensboro Rd
Ridgeway, VA 24148
Phone (276) 956-2047

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1780131649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 N CEDAR ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583928",
            "telephone_number": "910-674-3030",
            "fax_number": "910-674-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 N CEDAR ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583928",
            "telephone_number": "910-674-3030",
            "fax_number": "910-674-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO-SILVA",
        "first_name": "TRACEY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173910",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0001189033",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0001189033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.