Heather Moya, APRN, CPNP
Individual provider Active NPI Pediatric Nurse Practitioner · Springfield, LA
NPI 1306236377 · NPPES record last updated Apr 1, 2019
Key facts
- NPI
- 1306236377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- AP08164 (LA)
- Practice address
- 27124 Highway 42
Springfield, LA 70462 - Phone
- (225) 683-5292
- Fax
- (225) 683-1310
- NPI assigned
- Jan 29, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP08164 | LA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S International L.L.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP08164 | LA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2382217 | Medicaid | LA |
Other providers in Springfield, LA
- Levius Inc.
- Chancie McClendon
- Richard F Mestayer
- Sol Stevenson Morgan
- Charles B Morrison
- Carrlissa Neal
- Alison Niemi
- Paula A. Norris
- Owls Transportation Service LLC
- Ruby D Pizzolato
All providers in Springfield, LA · Pediatric Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.