Individual provider Active NPI

Kay Craft Moreland, NP

  • Women's Health Nurse Practitioner
  • Santa Maria, CA
National Provider Identifier
1790837912
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN451519 Issued in CA
Practice address
1145 E Clark Ave
Suite F
Santa Maria, CA 93455-5105
Phone
(805) 934-5140
Fax
(805) 934-3500
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN451519 CA Primary

Addresses

Primary practice location

1145 E Clark Ave
Suite F
Santa Maria, CA 93455-5105

Mailing address

1145 E Clark Ave
Suite F
Santa Maria, CA 93455-5105
Phone (805) 934-5140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100319000752 CA Practitioner - Nurse Practitioner 9133254840 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Okerblom Voegele and Hole MD a Professional Corporation CurrentSince Mar 8, 2010 Accepting new patients
Dignity Health PastSince Mar 8, 2010 Accepting new patients

Locations

1145 E Clark Ave
Ste F
Santa Maria, CA 93455
Phone (805) 361-0756

915 E Stowell Rd
Ste C
Santa Maria, CA 93454
Phone (805) 934-5140

Organizations & group practices 2

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1790837912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 E CLARK AVE",
            "address_2": "SUITE F",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555105",
            "telephone_number": "805-934-5140",
            "fax_number": "805-934-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 E CLARK AVE",
            "address_2": "SUITE F",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555105",
            "telephone_number": "805-934-5140",
            "fax_number": "805-934-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELAND",
        "first_name": "KAY",
        "middle_name": "CRAFT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "RN451519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.