Individual provider Active NPI

Vera C Moses, RN

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1336467653
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-062866 Issued in AL
Practice address
751 Pleasant Row NW
Huntsville, AL 35816-2537
Phone
(256) 533-6311
Fax
(256) 536-0801
NPI assigned
May 11, 2010
Last updated
Dec 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-062866 AL
Family Nurse Practitioner 363LF0000X 1-062866 AL Primary

Addresses

Primary practice location

751 Pleasant Row NW
Huntsville, AL 35816-2537

Mailing address

PO Box 18488
Huntsville, AL 35804-8488
Phone (256) 534-8659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211201001484 AL Practitioner - Nurse Practitioner 9537559885 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-062866ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Central North Alabama Health Services, Inc. CurrentSince Dec 6, 2021 Accepting new patients
Central North Alabama Health Services, Inc. CurrentSince Dec 6, 2021 Accepting new patients

Locations

751 Pleasant Row NW
Huntsville, AL 35816
Phone (256) 533-6311

8208 Highway 53
Toney, AL 35773
Phone (256) 382-7140

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.

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1336467653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18488",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358048488",
            "telephone_number": "256-534-8659",
            "fax_number": "256-533-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 PLEASANT ROW NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358162537",
            "telephone_number": "256-533-6311",
            "fax_number": "256-536-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "VERA",
        "middle_name": "C",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-062866",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-062866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.