Carissa Anne Moser, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

APRN92044 Issued in WV

Practice address

1200 J D Anderson Dr
Morgantown, WV 26505-3494

Phone

(304) 598-6560

Fax

(304) 598-6566

NPI assigned

Nov 18, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1053649723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1615",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265071615",
            "telephone_number": "304-598-6560",
            "fax_number": "304-598-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 J D ANDERSON DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053494",
            "telephone_number": "304-598-6560",
            "fax_number": "304-598-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "CARISSA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WV",
            "license": "APRN92044",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WV",
            "license": "APRN92044",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810029856",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Morse, AU.D.
• Diba Mortazavi, DO
• Dana Morton, MD
• Richard Franklin Morton, CRNA
• Jenna Renee Mosely Lohnes, LGSW
• Lisa G Moser, RN
• George D Moses, ED.D.
• Steven Mosey, DO
• Stephanie Suzannah Mosley, RPH
• Alvin H Moss, M. D.

• Women's Health Nurse Practitioner in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Women's Health Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.