Active NPI
Patricia Lee Moffit, RN, PTA
- Registered Nurse
- Tangent, OR
National Provider Identifier
1831421445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 200241501RN RN
- Practice address
- 33175 McFarland Rd Unit 8
Tangent, OR 97389-9648 - Phone
- (541) 791-3258
- Fax
- (541) 791-3258
- NPI assigned
- Feb 6, 2010
- Last updated
- Feb 6, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 200241501RN RN | OR | Primary |
| Physical Therapy Assistant | 225200000X | 7121 | OR |
Addresses
Primary practice location
33175 McFarland Rd Unit 8
Tangent, OR 97389-9648
Mailing address
33175 McFarland Rd Unit 8
Tangent, OR 97389-9648
Phone (541) 791-3258
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200241501RN RN | OR | MD | Registered Nurse |
| 7121 | OR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265414400000",
"number": "1831421445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33175 MCFARLAND RD UNIT 8",
"city": "TANGENT",
"state": "OR",
"postal_code": "973899648",
"telephone_number": "541-791-3258",
"fax_number": "541-791-3258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33175 MCFARLAND RD UNIT 8",
"city": "TANGENT",
"state": "OR",
"postal_code": "973899648",
"telephone_number": "541-791-3258",
"fax_number": "541-791-3258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFFIT",
"first_name": "PATRICIA",
"middle_name": "LEE",
"credential": "RN, PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-06",
"last_updated": "2010-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "200241501RN RN",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OR",
"license": "7121",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tangent, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.