Active NPIIndividual provider

Samantha J Moffett, RN

Nurse Practitioner, Psych/Mental Health in Orange, Connecticut

NPI Number1033049796
Practice location
400 W Campus Dr, Orange, CT 06477-3646
Fax
—
Last updated
July 15, 2026

Samantha Jade Moffett is a Nurse Practitioner, Psych/Mental Health based in Orange, CT. Samantha Jade Moffett practices in Orange, CT and has the professional credentials of RN. The NPI Number for Samantha Jade Moffett is 1033049796 and holds a License No. 225504 (CT). The current practice location address for Samantha Jade Moffett is 400 W Campus Dr, Orange, CT 06477-3646 and can be reached out via phone at 203-737-2357.

Provider Profile Details

NPI Number
1033049796
Provider Name
Samantha Jade Moffett
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
400 W Campus Dr, Orange, CT 06477-3646
Phone Number
203-737-2357
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
May 22, 2026
Last Update Date
July 15, 2026
Certification Date
July 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 W Campus Dr
Orange, CT 06477-3646
City
Orange
Zip
06477-3646
Phone Number
203-737-2357
Orange, CT 06477Get directions →

Provider Business Mailing Address Details

Address
3 Osborne Ave
West Haven, CT 06516-7237
City
West Haven
State
CT
Zip
06516-7237
Phone Number
203-848-4684

License Information

License Number
225504
License State
CT
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Samantha J Moffett, RN?

The NPI number of Samantha J Moffett, RN is 1033049796. It was assigned on May 22, 2026 and is currently active in the NPPES registry.

What is the specialty of Samantha J Moffett, RN?

Samantha J Moffett, RN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 225504.

Where does Samantha J Moffett, RN practice?

The practice location is 400 W Campus Dr, Orange, CT 06477-3646. The office can be reached at 203-737-2357 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033049796 directly on the NPPES registry website.

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