Active NPI
Laurie Moorehouse, LMT, RN
- Massage Therapist
- Penn Yan, NY
National Provider Identifier
1932420726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 026754
- Practice address
- 2336 Hazard Rd
Penn Yan, NY 14527-9745 - Phone
- (315) 536-4564
- NPI assigned
- Jun 16, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 408654 | NY | |
| Massage Therapist | 225700000X | 026754 | NY | Primary |
Addresses
Primary practice location
2336 Hazard Rd
Penn Yan, NY 14527-9745
Mailing address
2336 Hazard Rd
Penn Yan, NY 14527-9745
Phone (315) 536-4564
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
| License | State | Type | Specialty |
|---|---|---|---|
| 408654 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1932420726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2336 HAZARD RD",
"city": "PENN YAN",
"state": "NY",
"postal_code": "145279745",
"telephone_number": "315-536-4564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2336 HAZARD RD",
"city": "PENN YAN",
"state": "NY",
"postal_code": "145279745",
"telephone_number": "315-536-4564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOREHOUSE",
"first_name": "LAURIE",
"credential": "LMT, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-16",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "408654",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "026754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penn Yan, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.