Active NPI
Jo Anna Moyer, CRNP
- Nurse Practitioner
- University Park, PA
National Provider Identifier
1356460851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- TP-001042-G
- Practice address
- 343 Student Health Center
University Park, PA 16802 - Phone
- (814) 863-9717
- Fax
- (814) 863-8464
- NPI assigned
- Mar 28, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-206141-L | PA | |
| Nurse Practitioner | 363L00000X | TP-001042-G | PA | Primary |
Addresses
Primary practice location
343 Student Health Center
University Park, PA 16802
Mailing address
343 Student Health Center
University Park, PA 16802
Phone (814) 863-9717
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-206141-L | PA | MD | Registered Nurse |
| TP-001042-G | PA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1356460851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 STUDENT HEALTH CENTER",
"city": "UNIVERSITY PARK",
"state": "PA",
"postal_code": "16802",
"telephone_number": "814-863-9717",
"fax_number": "814-863-8464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 STUDENT HEALTH CENTER",
"city": "UNIVERSITY PARK",
"state": "PA",
"postal_code": "16802",
"telephone_number": "814-863-9717",
"fax_number": "814-863-8464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "JO ANNA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN-206141-L",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "TP-001042-G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in University Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.