Destiny Mooty

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

168599 Issued in OH

Practice address

475 Eastdale Dr
Dayton, OH 45415-2913

Phone

(937) 626-6868

NPI assigned

Aug 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Your Home Our Caring Hand

  • Chore Provider
  • Dayton, OH
  • NPI 1598546145
  NPD Authorized official

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

{
    "created_epoch": "1535241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1942781182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 NORTHCUTT PL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143840",
            "telephone_number": "937-496-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 EASTDALE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454152913",
            "telephone_number": "937-626-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOTY",
        "first_name": "DESTINY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-26",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "168599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Moorman
• Lela Moorman
• Miko Luett Moorman
• Sarah Moorman, MD
• Teresa Ann Moorman
• Andrea Morales-Casasola
• Luis J Morales-Lugo, MD
• Judith Morales-Serrano
• Rommel Cruz Morales, MD
• Whitney Morand, RN, BSN

• Licensed Practical Nurse in Dayton, OH
• Providers in Dayton, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.