Active NPI
Nancie J Mooy, CNM
- Advanced Practice Midwife
- Salt Lake City, UT
National Provider Identifier
1013902212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 206394-4402
- Practice address
- 324 10TH Ave
Ste 184
Salt Lake City, UT 84103-2853 - Phone
- (801) 408-1440
- Fax
- (801) 408-1441
- NPI assigned
- Sep 13, 2005
- Last updated
- Jun 26, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 206394-4402 | UT | Primary |
Addresses
Primary practice location
324 10TH Ave
Ste 184
Salt Lake City, UT 84103-2853
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 408-1440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206394-4402 | UT | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Past | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients | |
| Lakeview Hospital Physician Services LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Intermountain Medical Group
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1306888722
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
dba Lakeview OBGYN Clinic
- Obstetrics & Gynecology Physician
- Bountiful, UT
- NPI 1932112448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245974400000",
"number": "1013902212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "801-408-1440",
"fax_number": "801-408-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 10TH AVE",
"address_2": "STE 184",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841032853",
"telephone_number": "801-408-1440",
"fax_number": "801-408-1441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOY",
"first_name": "NANCIE",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-13",
"last_updated": "2009-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "UT",
"license": "206394-4402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.