Individual provider Active NPI

Lore-Lyndsey Hargrave Moran, PMHNP-FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1952805053
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP09809 Issued in LA
Practice address
102 Asma Blvd Ste 112
Lafayette, LA 70508-3843
Phone
(337) 504-2332
Fax
(337) 504-4748
NPI assigned
Mar 22, 2018
Last updated
May 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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 AP09809 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP09809 LA Primary

Addresses

Primary practice location

102 Asma Blvd Ste 112
Lafayette, LA 70508-3843

Mailing address

101 Oakpark Cir
Lafayette, LA 70506-5856
Phone (337) 658-6744

Other identifiers 1

IdentifierTypeStateIssuer
PA024066OtherLAPRESCRIPTIVE AUTHORITY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180814000595 LA Practitioner - Nurse Practitioner 9537418249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Omni Psychiatric and Wellness Group LLCGroup PAC ID 0840702312, 7 clinicians

Practice addresses (Care Compare)

100 Asma Blvd
Suite 200E
Lafayette, LA 70508-3858
Phone (337) 504-2332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP09809LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Psychiatric & Wellness Group LLC Psychiatric/Mental Health CurrentSince Jun 1, 2025 Accepting new patients
Core Mental Health and Wellness, LLC PastSince Mar 27, 2022 Accepting new patients

Locations

100 Asma Blvd
Ste 200E
Lafayette, LA 70508
Phone (337) 362-3813

102 Asma Blvd
Ste 112
Lafayette, LA 70508
Phone (337) 504-2322

Interoperability endpoints

  • Direct secure messaging: lore-lyndseymoran@73720b2c.micromddirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1952805053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OAKPARK CIR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705065856",
            "telephone_number": "337-658-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ASMA BLVD STE 112",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083843",
            "telephone_number": "337-504-2332",
            "fax_number": "337-504-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "LORE-LYNDSEY",
        "middle_name": "HARGRAVE",
        "credential": "PMHNP-FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09809",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP09809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESCRIPTIVE AUTHORITY",
            "identifier": "PA024066",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.