NPIMap

Individual provider Active NPI

Laura Moreno, APRN

  • Family Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1982219697
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200085 Issued in OK
Practice address
1534 E. 15TH St
Edmond, OK 73013-3630
Phone
(405) 861-0224
NPI assigned
Sep 10, 2020
Last updated
Nov 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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 200085 OK Primary
Family Medicine Physician 207Q00000X 115206 OK

Addresses

Primary practice location

1534 E. 15TH St
Edmond, OK 73013-3630

Mailing address

1632 Camden Way # X
Edmond, OK 73013-2939
Phone (405) 926-0353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115206OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pawhuska Hospital, Inc. Single Specialty Current Accepting new patients
Carnegie Tri-County Municipal Hospital Management, Inc Single Specialty CurrentSince Jun 1, 2022 Accepting new patients
Prague Healthcare Authority CurrentSince Jun 1, 2022 Accepting new patients
Prague Healthcare Authority Single Specialty CurrentSince Jun 1, 2022 Accepting new patients
Carnegie Tri-County Municipal Hospital Management, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Pawhuska Hospital Inc CurrentSince Jun 1, 2022 Accepting new patients
Covid Busters, LLP Family CurrentSince Sep 13, 2020 Accepting new patients
San Bernardino Eye Surgery Center LLC Past Accepting new patients
Auxilium Health Network, LLC Single Specialty Past Accepting new patients

Locations

102 N Broadway St
Carnegie, OK 73015
Phone (580) 654-1050

1101 E 15th St
Pawhuska, OK 74056
Phone (918) 287-3232

1109 E 15th St
Pawhuska, OK 74056
Phone (918) 287-3232

1322 Klabzuba Ave
Prague, OK 74864
Phone (405) 567-2295

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/pawhusk-5551a701

Organizations & group practices 11

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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1982219697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 CAMDEN WAY # X",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132939",
            "telephone_number": "405-926-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 E. 15TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133630",
            "telephone_number": "405-861-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "LAURA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2022-11-08",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "200085",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "115206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.