Kathryn Moynihan, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2023154821 Issued in FL

Practice address

6511 Gunn Hwy
Tampa, FL 33625-4021

Phone

(813) 605-1122

Fax

(813) 354-2430

NPI assigned

Dec 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Upshaw TMS LLCGroup PAC ID 3678819349, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Upshaw TMS LLC

  • Psychiatry Physician
  • Tampa, FL
  • NPI 1629560545
  Medicare reassignment Care Compare group NPD
• Neurospa TMS LLC

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1265043434
  NPD

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1366219222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 LAKE HELEN OSTEEN RD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327381068",
            "telephone_number": "407-461-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254021",
            "telephone_number": "813-605-1122",
            "fax_number": "813-354-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYNIHAN",
        "first_name": "KATHRYN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "2023154821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacinto B Moya, MD
• Sirney Ronal Moya, MA68723
• Jill L Moyer, CRNA
• Susan B Moyers, PHD. MPH. LDN.
• Giovanna Pina Moynihan
• MPMD LLC
• MPN Medical Center Carrollwood
• Mr Behavioral Services LLC
• Mr RX LLC
• Kristin Mraz, ARNP

• Psychiatric/Mental Health Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.