Tiffany J Moseley, CNM

Individual provider Active NPI Advanced Practice Midwife · Annapolis, IL

NPI 1194597161 · NPPES record last updated Dec 28, 2023

Key facts

NPI
1194597161
Entity type
Individual (NPI type 1)
Primary specialty
Advanced Practice Midwife 367A00000X
License
209029056 (IL)
Practice address
2781 N 900TH St
Annapolis, IL 62413-3117
Phone
(618) 554-5959
Fax
(959) 666-6204
NPI assigned
Oct 24, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
209029056ILMDAdvanced Practice Midwife
09000452AINMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Moseley Women'S Health PLLC Advanced Practice Midwife Current
since Mar 12, 2024
Accepting new patients
Labor of Love Midwifery and Women Health Services LLC Past
since Mar 5, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 09000452A IN
Advanced Practice Midwife 367A00000X 209029056 IL Yes

Addresses

Primary practice location

2781 N 900TH St
Annapolis, IL 62413-3117

Mailing address

2781 N 900TH St
Annapolis, IL 62413-3117
Phone (618) 554-5959

Other practice location 1

309 N Jefferson St
Robinson, IL 62454-2722
Phone (618) 553-8369

Other providers in Annapolis, IL

All providers in Annapolis, IL · Advanced Practice Midwife in Illinois

Sources for this page

Verify at the official NPI Registry.