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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209029056 | IL | MD | Advanced Practice Midwife |
| 09000452A | IN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moseley Women'S Health PLLC | Advanced Practice Midwife | Current |
Accepting new patients |
| Labor of Love Midwifery and Women Health Services LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.