Pamela R Moyers

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

75716 Issued in KS

Practice address

401 Woodland Hills Blvd
Fort Scott, KS 66701-8797

Phone

(620) 223-8040

Fax

(620) 223-8002

NPI assigned

May 15, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1396796348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 N MICHIGAN ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622546",
            "telephone_number": "620-231-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WOODLAND HILLS BLVD",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667018797",
            "telephone_number": "620-223-8040",
            "fax_number": "620-223-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYERS",
        "first_name": "PAMELA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "75716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Physician Group
• Midwest Pathology Consultants, P.a.
• Frank David Miller, D.C.
• Steve C Mitchell Sr., OD
• Tylar N Montgomery, FNP-BC
• Judy Nelson, ARNP
• Kelly Nelson, PTA
• Mary Beth Newkirk
• Tien Q Nguyen, PMHNP
• Robert R Nichols, M.D.

• Family Nurse Practitioner in Fort Scott, KS
• Providers in Fort Scott, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.