Active NPI
Nakeda Luna Moulton, NP
- Family Nurse Practitioner
- Hempstead, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 349669
- Practice address
- 60 Manor Ave
Hempstead, NY 11550-3537 - Phone
- (347) 262-4494
- NPI assigned
- Jun 15, 2022
- Last updated
- Jun 15, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 349669 | NY | Primary |
Addresses
Primary practice location
60 Manor Ave
Hempstead, NY 11550-3537
Mailing address
60 Manor Ave
Hempstead, NY 11550-3537
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Northwell | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 Medical Dr
Suite B
Port Jefferson Station, NY 11776-1588
Phone (212) 803-3339
165 N Village Ave
Rockville Centre, NY 11570-3701
Phone (212) 803-3339
181 Main St
Suite 210
Huntington, NY 11743-6918
Phone (212) 803-3339
7600 Jericho Tpke
Woodbury, NY 11797-1728
Phone (212) 803-3339
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 349669 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Mission Medical Care PC | Family | Current | Accepting new patients |
| Fara Stricker Family Health Nurse Practitioner, P.C. | Past | Accepting new patients |
Locations
300 Community Dr
Manhasset, NY 11030
2001 Marcus Ave
Ste W290
North New Hyde Park, NY 11042
Phone (516) 238-9282
165 N Village Ave
Ste 133
Rockville Ctr, NY 11570
Phone (516) 764-0879
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- nakedamoulton@nslijmedgr.allscriptsdirect.net
Organizations & group practices 3
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.
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
dba Pura Vida Medical
- Infusion Therapy Clinic/Center
- Rockville Centre, NY
- NPI 1669162970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1881324515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MANOR AVE",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115503537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 MANOR AVE",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115503537",
"telephone_number": "347-262-4494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOULTON",
"first_name": "NAKEDA",
"middle_name": "LUNA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-15",
"last_updated": "2022-06-15",
"certification_date": "2022-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "349669",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Northwell",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "HPI",
"address_1": "60 Manor Ave",
"city": "Hempstead",
"state": "NY",
"country_code": "US",
"postal_code": "115503537",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.