Active NPI
Robert Moran, MSN, FNP-BC
- Family Nurse Practitioner
- Laredo, TX
National Provider Identifier
1851691083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 630856
- Practice address
- 1501 E Bustamante St Ste D
Laredo, TX 78041-8905 - Phone
- (956) 235-1056
- NPI assigned
- Oct 21, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 630856 | TX | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 630856 | TX |
Addresses
Primary practice location
1501 E Bustamante St Ste D
Laredo, TX 78041-8905
Mailing address
101 W Hillside Rd # 1
Laredo, TX 78041-3141
Phone (956) 235-1056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
802 E Saunders St
Suite a
Laredo, TX 78041-5824
Phone (956) 568-5013
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 630856 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuestra Salud Health Clinic,P.C. | Family | Current | Accepting new patients |
Locations
1501 E Bustamante St
Ste D
Laredo, TX 78041
Phone (956) 693-3865
802 E Saunders St
Ste A
Laredo, TX 78041
Phone (956) 334-2468
Organizations & group practices 1
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": "1287619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1851691083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W HILLSIDE RD # 1",
"city": "LAREDO",
"state": "TX",
"postal_code": "780413141",
"telephone_number": "956-235-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E BUSTAMANTE ST STE D",
"city": "LAREDO",
"state": "TX",
"postal_code": "780418905",
"telephone_number": "956-235-1056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-21",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "630856",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "630856",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.