Organization Active NPI

Moxie Wellness

  • Family Nurse Practitioner
  • Woodside, NY
National Provider Identifier
1295469120
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MOXIE WELLNESS
Practice address
6011 39TH Ave #1
Woodside, NY 11377
Phone
(646) 504-8944
NPI assigned
Jul 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Ms. Natalie S Howard
Title
FNP-C
Phone
(646) 504-8894

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

6011 39TH Ave #1
Woodside, NY 11377

Mailing address

6319 Roosevelt Ave # 211
Woodside, NY 11377-3641
Phone (646) 504-8894

Other names 1

  • Earth & Heart Primary Care PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

6319 Roosevelt Ave
Woodside, NY 11377
Phone (718) 429-2140

NPI Registry JSON

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1295469120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 ROOSEVELT AVE # 211",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773641",
            "telephone_number": "646-504-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 39TH AVE #1",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "646-504-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOXIE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-15",
        "last_updated": "2024-03-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "646-504-8894",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Earth & Heart Primary Care PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Earth & Heart Primary Care PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.