Active NPI
Lynnmary Teckler Moyo
- Women's Health Nurse Practitioner
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 1178464
- Practice address
- 1500 S Main St
Fort Worth, TX 76104-4941 - Phone
- (469) 570-0103
- NPI assigned
- Sep 18, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 1178464 | TX | |
| Women's Health Nurse Practitioner | 363LW0102X | 1178464 | TX | Primary |
Addresses
Primary practice location
1500 S Main St
Fort Worth, TX 76104-4941
Mailing address
200 W Magnolia Ave Ste 201
Fort Worth, TX 76104-7657
Phone (817) 702-2977
Other practice location 1
1201 S Main St Ste 201
Fort Worth, TX 76104-4804
Phone (817) 702-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-1166
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1178464 | TX | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acclaim Physician Group, Inc | Current | Accepting new patients |
Locations
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1053283341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W MAGNOLIA AVE STE 201",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761047657",
"telephone_number": "817-702-2977",
"fax_number": "817-702-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S MAIN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044941",
"telephone_number": "469-570-0103"
}
],
"practiceLocations": [
{
"address_1": "1201 S Main St Ste 201",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761044804",
"country_code": "US",
"telephone_number": "817-702-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOYO",
"first_name": "LYNNMARY",
"middle_name": "TECKLER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-18",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "TX",
"license": "1178464",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "1178464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.