Luanne Moeller, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

NURR27912 Issued in AK

Practice address

1401 W Vaunda Ave
Wasilla, AK 99654-6220

Phone

(907) 376-6290

NPI assigned

Jun 22, 2016

Last updated

Jun 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1790136695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W VAUNDA AVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W VAUNDA AVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546220",
            "telephone_number": "907-376-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "LUANNE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "NURR27912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Laura Mitchell, M.D.
• Jessica Mitchell, PTA
• Uriah Zacchaeus Mitchell, MS
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• Christopher Mobley, LPN
• Andrew Moffitt, PSS III, CDCS, SAP
• Niko Emile Mogar
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• Matthew Anthony Monaco, DDS

• Registered Nurse in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.