Jan De Moisey, RN, MSN, MBA

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

1038342 Issued in KY

Practice address

7370 Turfway Rd
Ste 350
Florence, KY 41042

Phone

(859) 212-4889

Fax

(859) 212-4890

NPI assigned

Oct 16, 2007

Last updated

Oct 16, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1265621247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LANDMARK DR STE 360",
            "city": "BELLEVUE",
            "state": "KY",
            "postal_code": "410731354",
            "telephone_number": "859-261-3700",
            "fax_number": "859-261-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7370 TURFWAY RD",
            "address_2": "STE 350",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "41042",
            "telephone_number": "859-212-4889",
            "fax_number": "859-212-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MOISEY",
        "first_name": "JAN",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "KY",
            "license": "1038342",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "KY",
            "license": "5238P",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY BD OF LIC",
            "identifier": "1038342",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia B Davidson, APRN
• Tonya Jo Davidson, LCSW, MSW
• Teresa A Davis, MA
• Wendy L Day, OD
• Matthew Dayringer, O.D.
• Stephanie Marie Deangelis, D.O.
• Catherine A Defoor, MD
• Kevin Degroot, DO
• John Deis
• Douglas G Deitemeyer, PHARM.D.

• Adult Psychiatric/Mental Health Registered Nurse in Florence, KY
• Providers in Florence, KY by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.