Individual provider Active NPI

Pamela Susan Moorby, RN

  • Registered Nurse
  • Providence, RI
National Provider Identifier
1861659898
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN15466 Issued in RI
Practice address
153 Summer Street
Children's Friend & Service
Providence, RI 02903
Phone
(401) 276-4300
Fax
(401) 331-3285
NPI assigned
May 19, 2008
Last updated
May 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN15466 RI Primary

Addresses

Primary practice location

153 Summer Street
Children's Friend & Service
Providence, RI 02903

Mailing address

80 Palm Blvd N
Warwick, RI 02888-1239
Phone (401) 467-7537

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

LicenseStateTypeSpecialty
RN15466RIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Friend and Service Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1861659898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PALM BLVD N",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028881239",
            "telephone_number": "401-467-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 SUMMER STREET",
            "address_2": "CHILDREN'S FRIEND & SERVICE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02903",
            "telephone_number": "401-276-4300",
            "fax_number": "401-331-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORBY",
        "first_name": "PAMELA",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN15466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.