Individual provider Active NPI

Georgeta Moisescu, RN

  • Registered Nurse
  • Vancouver, WA
National Provider Identifier
1861735706
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00142415 Issued in WA
Practice address
9905 NE 81St St
Vancouver, WA 98662-2921
Phone
(360) 892-7764
Fax
(360) 882-2962
NPI assigned
Mar 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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 RN00142415 WA Primary

Addresses

Primary practice location

9905 NE 81St St
Vancouver, WA 98662-2921

Mailing address

9905 NE 81St St
Vancouver, WA 98662-2921
Phone (360) 892-7764

Other identifiers 1

IdentifierTypeStateIssuer
538015MedicaidWA

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
RN00142415WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1861735706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 NE 81ST ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986622921",
            "telephone_number": "360-892-7764",
            "fax_number": "360-882-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9905 NE 81ST ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986622921",
            "telephone_number": "360-892-7764",
            "fax_number": "360-882-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOISESCU",
        "first_name": "GEORGETA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00142415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "538015",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.