KATELYN MARIE MOFFATT - NPI 1235859133 - Licensed Practical Nurse in Marion, OH

Q: What is Katelyn Moffatt's NPI number?

The NPI number for Katelyn Moffatt is 1235859133. It was assigned to this individual provider in the NPPES registry on August 31, 2022. The provider is also known as Katelyn Lee Lpn.

Q: What is Katelyn Moffatt's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Katelyn Moffatt was last updated on February 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Katelyn Marie Moffatt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN MARIE MOFFATT (NPI 1235859133) is an individual licensed practical nurse in Marion, Ohio, licensed in Ohio (176454) and active in the NPI registry since August 2022. She maintains a secondary practice location in Marion.

NPPES Registry Identity

NPI1235859133

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKATELYN MARIE MOFFATT

Location Address827 N MAIN STMarion, OH 43302-1736

Mailing Address827 N Main StMarion, OH 43302-1736 · (740) 914-5000

Phone(740) 914-5000

Sole ProprietorYes

Enumeration DateAugust 31, 2022

Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2026

✔ NPI 1235859133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in OH · 176454

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

827 N MAIN ST, Marion, OH 43302

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Other Names 1

Former Name (1)Katelyn Lee Lpn

Secondary Practice Location 1

Location 1333 E Center St Ste 302Marion, OH 43302-4142 · Phone (740) 914-5000

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOSHUA LEE MELVIN MDIV, CDCA

Counselor (Addiction (Substance Use Disorder))