Individual provider Active NPI

Robert Moran, MSN, FNP-BC

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1851691083
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
630856 Issued in TX
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

Updated by the provider on Oct 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231201001295 TX Practitioner - Nurse Practitioner 9931557931 Reassigns benefits to 1 organization

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
Nuestra Salud Health Clinic,P.C.Group PAC ID 3971930801, 3 clinicians

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

LicenseStateTypeSpecialty
630856TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nuestra Salud Health Clinic,P.C. Family CurrentSince Sep 11, 2023 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

Verify at the official NPI Registry.