Active NPI
Nancy K. Moughrabi, FNP
- Family Nurse Practitioner
- Chattanooga, TN
National Provider Identifier
1225261886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN0000014187
- Practice address
- 171 Baylor School Rd
Chattanooga, TN 37405-2507 - Phone
- (423) 267-8506
- Fax
- (423) 757-2874
- NPI assigned
- Aug 31, 2009
- Last updated
- Sep 25, 2020
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 205058 | GA | |
| Family Nurse Practitioner | 363LF0000X | APN0000014187 | TN | Primary |
Addresses
Primary practice location
171 Baylor School Rd
Chattanooga, TN 37405-2507
Mailing address
4976 Alpha LN
Hixson, TN 37343-5470
Phone (423) 308-0280
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1522117 | Medicaid | TN | |
| 14187 | Other | TN | TN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205058 | GA | MD | Nurse Practitioner |
| APN0000014187 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Doc PLLC | Current | Accepting new patients |
Locations
1067 Riverfront Pkwy
Ste 201
Chattanooga, TN 37402
Phone (423) 822-2387
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1225261886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4976 ALPHA LN",
"city": "HIXSON",
"state": "TN",
"postal_code": "373435470",
"telephone_number": "423-308-0280",
"fax_number": "423-308-0281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 BAYLOR SCHOOL RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374052507",
"telephone_number": "423-267-8506",
"fax_number": "423-757-2874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUGHRABI",
"first_name": "NANCY",
"middle_name": "K.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "205058",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN0000014187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1522117",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN LICENSE",
"identifier": "14187",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.