Active NPI
Reisha E Moxley, PHD
- Counseling Psychologist
- Nashville, TN
National Provider Identifier
1154966299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3687
- Practice address
- 1310 24TH Ave S
Nashville, TN 37212-2637 - Phone
- (615) 873-6827
- NPI assigned
- Nov 13, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3687 | TN | |
| Health Service Psychologist | 103TH0100X | 3687 | TN | |
| Counseling Psychologist | 103TC1900X | 3687 | TN | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 3687 | TN |
Addresses
Primary practice location
1310 24TH Ave S
Nashville, TN 37212-2637
Mailing address
1310 24TH Ave S # C-349
Nashville, TN 37212-2637
Phone (615) 873-6827
Other practice location 1
3601 The Vanderbilt Clinic
Nashville, TN 37232-6851
Phone (615) 936-2000
Other practice location 2
3401 W End Ave Ste 380
Nashville, TN 37203-6851
Phone (615) 343-1554
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3687 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695427200000",
"number": "1154966299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 24TH AVE S # C-349",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372122637",
"telephone_number": "615-873-6827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 24TH AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372122637",
"telephone_number": "615-873-6827"
}
],
"practiceLocations": [
{
"address_1": "3601 The Vanderbilt Clinic",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372326851",
"country_code": "US",
"telephone_number": "615-936-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3401 W End Ave Ste 380",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372036851",
"country_code": "US",
"telephone_number": "615-343-1554",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOXLEY",
"first_name": "REISHA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-13",
"last_updated": "2023-09-23",
"certification_date": "2023-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "3687",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "TN",
"license": "3687",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TN",
"license": "3687",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TN",
"license": "3687",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.