Nathan Moss Agacnp-BC PLLC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP8631 Issued in AZ

Legal business name

NATHAN MOSS AGACNP-BC PLLC

Practice address

1200 N Beaver St
Flagstaff, AZ 86001-3118

Phone

(208) 818-6181

NPI assigned

Jan 11, 2017

Organization subpart

No

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

Authorized official

Name

Nathan A Moss, AGACNP-BCNPI 1588118111

Title

NP

Phone

(208) 818-6181

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan Alan Moss, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Flagstaff, AZ
  • NPI 1588118111
  NPD (past) Authorized official

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1356887640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2467 S CLIFFVIEW ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012989",
            "telephone_number": "208-818-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "208-818-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN MOSS AGACNP-BC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "208-818-6181",
        "authorized_official_credential": "AGACNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP8631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kael Nahikian, M.D., M.SC., M.S.
• Michael K Nakamura, RN
• Mohan Reddi Nandalur, M.D.
• Rachel Nash, LAC
• Linda Lee Nassif, MD
• Tina K Nation, M.S.
• National Cardiovascular Associates, LLC
• National Vision, Inc.
• Nationwide Optometry P.C.
• Nationwide Vision Center, LLC

• Acute Care Nurse Practitioner in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Acute Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.