Kelly Elizabeth Moran, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP018728 Issued in PA

Practice address

1701 JFK Blvd FL 25
Philadelphia, PA 19103-2851

Phone

(215) 330-2029

NPI assigned

May 14, 2018

Last updated

Dec 9, 2024By the provider in NPPES

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: kelly.moran@49428401684484.direct.elationemr.com

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1952891152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 MCCLELLAN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 JFK BLVD FL 25",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191032851",
            "telephone_number": "215-330-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen E Moran, PHD
• John K Moran, MD
• Kate Moran, RN
• Katherine Mary Moran, MS, CCC-SLP
• Kathleen Moran, MS CCC-SLP
• Mark Moran, LSW
• Martin F Moran, CRNA
• Mary Margaret Moran, M.D.
• Patrick Thomas Moran III, DMD
• Sean Moran

• Family Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.