IndividualActive
Diane Moulton, MSED
NPI 1053673061 · Specialist · Fairport, NY
Diane Moulton, MSED is a Specialist provider in Fairport, NY (NPI 1053673061).
Provider details
- NPI number
- 1053673061
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MSED
- Sex
- Female
- Sole proprietor
- Yes
- License
- 321126901 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
149 N Main St
Fairport, NY 14450-1434
Phone: (585) 377-2230
Fax: (585) 377-2243
Street-level locationGet directions
Mailing address
128 Woodbine Ave
East Rochester, NY 14445-1823
Registry dates
- Enumerated
- 2012-06-14
- Last updated
- 2012-06-14
Frequently asked questions
- What is Diane Moulton's NPI number?
- Diane Moulton's National Provider Identifier (NPI) is 1053673061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Diane Moulton's specialty?
- Diane Moulton is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Diane Moulton located?
- Diane Moulton's practice location on file with NPPES is 149 N Main St, Fairport, NY 14450-1434.
- What is Diane Moulton's phone number?
- The practice phone number listed in the NPPES registry for Diane Moulton is (585) 377-2230.
- Is Diane Moulton's NPI active?
- Yes — Diane Moulton's NPI (1053673061) is active in the NPPES registry as of the last update on 2012-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.