Individual provider Active NPI

Letricia Lynn Moss, NNP

  • Neonatal Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1194927681
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
563631 Issued in TX
Practice address
7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone
(210) 332-1350
Fax
(210) 507-4785
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 563631 TX Primary

Addresses

Primary practice location

7400 Barlite Blvd
San Antonio, TX 78224-1308

Mailing address

1120 Cedar Grove TRL
Spring Branch, TX 78070-5303
Phone (806) 939-3239

Other identifiers 1

IdentifierTypeStateIssuer
563631OtherTXNURSING LICENSE

Other names 1

  • Letricia Lynn Moss Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
563631TXMDNeonatal Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1194927681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 CEDAR GROVE TRL",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780705303",
            "telephone_number": "806-939-3239",
            "fax_number": "210-507-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 BARLITE BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241308",
            "telephone_number": "210-332-1350",
            "fax_number": "210-507-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "LETRICIA",
        "middle_name": "LYNN",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "TX",
            "license": "563631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "563631",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LETRICIA",
            "last_name": "MOSS",
            "middle_name": "LYNN",
            "credential": "NNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.