Individual provider Active NPI

Leslie B Moreno, APRN, FNP-BC

  • Family Nurse Practitioner
  • Weston, FL
National Provider Identifier
1922515311
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9325959 Issued in FL
Practice address
1751 Bonaventure Blvd
Weston, FL 33326-4039
Phone
(954) 656-3181
Fax
(954) 656-3188
NPI assigned
Jan 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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 9325959 FL
Family Nurse Practitioner 363LF0000X APRN9325959 FL Primary

Addresses

Primary practice location

1751 Bonaventure Blvd
Weston, FL 33326-4039

Mailing address

6750 SW 6TH St
Miami, FL 33144-3618

Other names 1

  • Leslie B Moreno Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
9325959FLMDFamily Nurse Practitioner
APRN9325959FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1515283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1922515311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 SW 6TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 BONAVENTURE BLVD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333264039",
            "telephone_number": "954-656-3181",
            "fax_number": "954-656-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "LESLIE",
        "middle_name": "B",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-07",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9325959",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9325959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "MORENO",
            "middle_name": "B",
            "credential": "ARNP, FNP- BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.