Individual Healthcare Provider
Tina Marie Moran, ACNP
Provider's NPPES record last updated: July 21, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1407042930
- Primary Specialty
- Nurse Practitioner — Acute Care
- Practice Location
- Madison Heights, Michigan
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 12:15 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Acute Care
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LA2100X Registered Nurse
Nursing Service Providers
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Taxonomy code 163W00000XRegistered Nurse
General Practice
Nursing Service Providers
Definition to come...
Taxonomy code 163WG0000XNurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Taxonomy code 363L00000XNurse Practitioner
Critical Care Medicine
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LC0200X
Provider-Reported License Information
- Nurse Practitioner (Michigan)
- 4704227573
- Registered Nurse (California)
- RN750803
- Registered Nurse (Michigan)
- 4704227573
- Nurse Practitioner (California)
- NP18939
- Nurse Practitioner (California)
- NP18939
Practice Locations
Practice Location
27351 Dequindre Rd
Madison Heights, Michigan 48071-3487
Phone: (248) 967-7000
Additional Practice Location
6121 N Thesta St
Fresno, California 93710-8603
Phone: (559) 439-7633
Record Information
- Enumeration Date
- September 18, 2007
- Provider's NPPES Record Last Updated
- July 21, 2022
- NPISignal NPPES Dataset
- August 2026
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