Active NPI
Paula Denise Tedin-Moschovas, DNP, ACNP-BC
- Acute Care Nurse Practitioner
- Jackson, TN
National Provider Identifier
1265960751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APN0000019721
- Practice address
- 2016 Greystone SQ
Jackson, TN 38305-3575 - Phone
- (731) 664-1773
- Fax
- (731) 664-1751
- NPI assigned
- May 26, 2017
- 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 | APN0000019721 | TN | |
| Acute Care Nurse Practitioner | 363LA2100X | APN0000019721 | TN | Primary |
Addresses
Primary practice location
2016 Greystone SQ
Jackson, TN 38305-3575
Mailing address
2016 Greystone SQ
Jackson, TN 38305-3575
Phone (731) 664-1773
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 |
|---|---|---|---|
| APN0000019721 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael E Steuer, MD, PC | Current | Accepting new patients | |
| Michael E Steuer MD PC | Current | Accepting new patients |
Locations
1004 Greystone Sq
Jackson, TN 38305
Phone (731) 664-1773
2016 Greystone Sq
Jackson, TN 38305
Phone (731) 664-1773
Organizations & group practices 2
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.
-
- Specialist
- Cordova, TN
- NPI 1861824559
-
- Specialist
- Jackson, TN
- NPI 1114276052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1265960751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2016 GREYSTONE SQ",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053575",
"telephone_number": "731-664-1773",
"fax_number": "731-664-1751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2016 GREYSTONE SQ",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053575",
"telephone_number": "731-664-1773",
"fax_number": "731-664-1751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEDIN-MOSCHOVAS",
"first_name": "PAULA",
"middle_name": "DENISE",
"credential": "DNP, ACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "APN0000019721",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "APN0000019721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.