Active NPI
Clinica Medica Moscati
- Community Health Clinic/Center
- Huntsville, AL
National Provider Identifier
1154130987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- CLINICA MEDICA MOSCATI
- Practice address
- 204 Lowe Ave SE Ste 7
Huntsville, AL 35801-4252 - Phone
- (256) 715-1054
- Fax
- (256) 715-1082
- NPI assigned
- Jan 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mayra Short
- Title
- Executive Director
- Phone
- (256) 715-1054
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | Primary |
Addresses
Primary practice location
204 Lowe Ave SE Ste 7
Huntsville, AL 35801-4252
Mailing address
204 Lowe Ave SE Ste 7
Huntsville, AL 35801-4252
Phone (256) 715-1054
Other names 1
- Clinica Medica Moscati (CMM)
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2324943 | Clinica Medica Moscati | Certificate of waiver | Jun 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
204 Lowe Ave SE
Ste 7
Huntsville, AL 35801
Phone (256) 517-5091
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Huntsville, AL
- NPI 1265998447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736121600000",
"number": "1154130987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 LOWE AVE SE STE 7",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014252",
"telephone_number": "256-715-1054",
"fax_number": "256-715-1082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 LOWE AVE SE STE 7",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014252",
"telephone_number": "256-715-1054",
"fax_number": "256-715-1082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICA MEDICA MOSCATI",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A",
"authorized_official_last_name": "SHORT",
"authorized_official_first_name": "MAYRA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "256-715-1054",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Clinica Medica Moscati (CMM)",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.