Active NPI
Moxie Wellness
- Family Nurse Practitioner
- Woodside, NY
National Provider Identifier
1295469120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | |||
| Family Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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.