Janet Mordarski, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R053092 Issued in ME

Practice address

389 Congress St
Room 307
Portland, ME 04101-3509

Phone

(207) 874-8784

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1821201005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PORTLAND ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012912",
            "telephone_number": "207-874-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 CONGRESS ST",
            "address_2": "ROOM 307",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013509",
            "telephone_number": "207-874-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORDARSKI",
        "first_name": "JANET",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "R053092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432540499",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Risa Moon, LCSW
• Brian D Moore, M.D.
• Jeffrey K Moore, MD
• Jennifer D Mora, NP
• Sarah L Moran, LCSW
• Steven T Moreau, PT
• Daniel Blake Morehead, M.D.
• Fernando Moreno Jr., MD
• Jeremy Moretz, MD
• Alexandra Ann Morgan, DNP

• Nurse Practitioner in Portland, ME
• Providers in Portland, ME by specialty
• Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.