Active NPI
Heather Moya, APRN, CPNP
- Pediatric Nurse Practitioner
- Springfield, LA
National Provider Identifier
1306236377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP08164
- Practice address
- 27124 Highway 42
Springfield, LA 70462 - Phone
- (225) 683-5292
- Fax
- (225) 683-1310
- NPI assigned
- Jan 29, 2015
- Last updated
- Apr 1, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP08164 | LA | Primary |
Addresses
Primary practice location
27124 Highway 42
Springfield, LA 70462
Mailing address
106 Mimosa St
Amite, LA 70422-2136
Phone (985) 247-2411
Other practice location 1
106 Mimosa St
Amite, LA 70422-2136
Phone (985) 247-2411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's International L.L.C. | Past | Accepting new patients | |
| Children's International, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Slidell, LA
- NPI 1073620498
-
- Rural Health Clinic/Center
- Amite, LA
- NPI 1922543446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554076800000",
"number": "1306236377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 MIMOSA ST",
"city": "AMITE",
"state": "LA",
"postal_code": "704222136",
"telephone_number": "985-247-2411",
"fax_number": "985-247-2415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27124 HIGHWAY 42",
"city": "SPRINGFIELD",
"state": "LA",
"postal_code": "70462",
"telephone_number": "225-683-5292",
"fax_number": "225-683-1310"
}
],
"practiceLocations": [
{
"address_1": "106 Mimosa St",
"address_purpose": "LOCATION",
"city": "Amite",
"state": "LA",
"postal_code": "704222136",
"country_code": "US",
"telephone_number": "985-247-2411",
"fax_number": "985-247-2415",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOYA",
"first_name": "HEATHER",
"credential": "APRN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-29",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "LA",
"license": "AP08164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.