Individual provider Active NPI

Tamela Patricia Moses

  • Home Health Clinical Nurse Specialist
  • Palm Bay, FL
National Provider Identifier
1386104370
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X
License
235330 Issued in FL
Practice address
1563 Georgia St NE Ste 3
Palm Bay, FL 32907-2565
Phone
(321) 205-3557
NPI assigned
Mar 25, 2019
Last updated
Mar 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Clinical Nurse Specialist 364SH0200X 235330 FL Primary

Addresses

Primary practice location

1563 Georgia St NE Ste 3
Palm Bay, FL 32907-2565

Mailing address

1563 Georgia St NE Ste 3
Palm Bay, FL 32907-2565
Phone (321) 465-2288

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL morninggloryseniorcarellc@gmail.com

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

LicenseStateTypeSpecialty
235330FLMDNursing Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1386104370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 GEORGIA ST NE STE 3",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072565",
            "telephone_number": "321-465-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 GEORGIA ST NE STE 3",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072565",
            "telephone_number": "321-205-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "TAMELA",
        "middle_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "FL",
            "license": "235330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "morninggloryseniorcarellc@gmail.com",
            "affiliation": "N",
            "address_1": "1563 Georgia St NE Ste 3",
            "city": "Palm Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329072565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.