Lighthouse Community Support
NPI 1568280592ActiveOrganization· Nurse Practitioner· Dover, DE
Nurse Practitioner in Dover, Delaware, registered in NPPES in September 2024. The authorized official on file is Martona Moody, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1568280592 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2024 |
| Last updated in NPPES | Jul 16, 2026 |
| Certified by provider | Jul 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DE) |
|---|
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