Active NPI
Ta'Quana Sharea Moye
- Certified Registered Nurse Anesthetist
- Washington, PA
National Provider Identifier
1205609583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 147947
- Practice address
- 155 Wilson Ave
Washington, PA 15301-3398 - Phone
- (724) 223-5000
- NPI assigned
- Oct 30, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN682976 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 147947 | PA | Primary |
Addresses
Primary practice location
155 Wilson Ave
Washington, PA 15301-3398
Mailing address
218 Ketchum Dr
Canonsburg, PA 15317-9731
Phone (724) 413-1655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240108000130 | PA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6406207109 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Keystone Anesthesia Consultants, LTD
Practice addresses (Care Compare)
155 Wilson Ave
Washington Hospital
Washington, PA 15301-3336
Phone (724) 225-7000
Hospital & facility affiliations
- Washington Hospital, the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147947 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Anesthesia Consultants, LTD | Current | Accepting new patients |
Locations
155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342
Organizations & group practices 1
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.
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1205609583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 KETCHUM DR",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153179731",
"telephone_number": "724-413-1655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 WILSON AVE",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153013398",
"telephone_number": "724-223-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYE",
"first_name": "TA'QUANA",
"middle_name": "SHAREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-30",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "PA",
"license": "RN682976",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "147947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.