Kelsey Nicole Moczulski, FNP-C, RN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1018708 Issued in TX

Practice address

1 Longfellow LN
Houston, TX 77005-1821

Phone

(817) 458-2215

NPI assigned

Jun 25, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1063082709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LONGFELLOW LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051821",
            "telephone_number": "817-458-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LONGFELLOW LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051821",
            "telephone_number": "817-458-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCZULSKI",
        "first_name": "KELSEY",
        "middle_name": "NICOLE",
        "credential": "FNP-C, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1018708",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1018708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akihiro Mochizuki
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• Emily G Mock, C.R.N.A.
• Kelly Lynn Mock, MS CCC-SLP
• Lou Ann Todd Mock, PHD
• Sydney Lynn Moczygemba, PA-C
• Dhyvia Modayil
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• Chiedozie Modebelu
• Modena EMS Inc

• Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.