Individual provider Active NPI

Tedril Fletcher-Moses, FNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1447872841
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05200161 Issued in LA
Practice address
4055 Valley View LN Ste 400
Dallas, TX 75244-5071
Phone
(469) 466-7421
NPI assigned
May 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F05200161 LA Primary

Addresses

Primary practice location

4055 Valley View LN Ste 400
Dallas, TX 75244-5071

Mailing address

PO Box 342
Saint Rose, LA 70087-0342
Phone (504) 908-6116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20200721002860 LA Practitioner - Nurse Practitioner 9739503939 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WCS Professional Services of Louisiana LLCGroup PAC ID 7719124080, 22 clinicians
Passages Palliative Care LLCGroup PAC ID 0143648683, 7 clinicians

Practice addresses (Care Compare)

3445 N Causeway Blvd
Suite 600
Metairie, LA 70002-3762
Phone (504) 609-3282

617 Dublin St
New Orleans, LA 70118-1019
Phone (504) 875-4204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F05200161LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restorixhealth at-Home, LLC Nurse Practitioner CurrentSince Jul 27, 2020 Accepting new patients
Passages, LLC CurrentSince Jul 20, 2023 Accepting new patients
Passages Palliative Care LLC CurrentSince Jul 20, 2023 Accepting new patients
WCS Professional Services of Louisiana, LLC Nurse Practitioner CurrentSince Aug 25, 2025 Accepting new patients

Locations (25 of 37)

1642 N Flannery Rd
Baton Rouge, LA 70815
Phone (225) 275-6393

11188 Florida Blvd
Baton Rouge, LA 70815
Phone (225) 275-7570

10145 Florida Blvd
Baton Rouge, LA 70815
Phone (225) 272-0111

3888 North Blvd
Baton Rouge, LA 70806
Phone (225) 334-3551

2828 Westfork Dr
Baton Rouge, LA 70816
Phone (225) 291-7049

10748 Joor Rd
Baton Rouge, LA 70818
Phone (225) 344-3551

14686 Old Hammond Hwy
Baton Rouge, LA 70816
Phone (225) 272-9339

4820 Medical Dr
Bossier City, LA 71112
Phone (318) 553-3244

9171 Cockerham Rd
Denham Springs, LA 70726
Phone (225) 523-5136

26739 LA Highway 1032
Denham Springs, LA 70726
Phone (225) 665-5544

301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931

1097 Northwest Blvd
Franklin, LA 70538
Phone (337) 355-1269

800 S Oak St
Hammond, LA 70403
Phone (504) 615-6419

1300 Derek Dr
Hammond, LA 70403
Phone (985) 345-7210

620 E College St
Homer, LA 71040
Phone (318) 927-2024

8166 Main St
Houma, LA 70360
Phone (800) 456-9121

1300 W 8th St
Kaplan, LA 70548
Phone (337) 322-1245

716 Village Rd
Kenner, LA 70065
Phone (504) 464-0604

1005 Eraste Landry Rd
Lafayette, LA 70506
Phone (337) 232-6370

1980 Jefferson Hwy
Lutcher, LA 70071
Phone (225) 869-5725

3445 N Causeway Blvd
Ste 600
Metairie, LA 70002
Phone (504) 835-4919

3017 N Causeway Blvd
Ste 203
Metairie, LA 70002
Phone (504) 833-9994

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

617 Dublin St
New Orleans, LA 70118
Phone (504) 875-4204

Interoperability endpoints

  • Direct secure messaging: tedril.fletchermoses.p1@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: tedril.fletchermoses.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1447872841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 342",
            "city": "SAINT ROSE",
            "state": "LA",
            "postal_code": "700870342",
            "telephone_number": "504-908-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 VALLEY VIEW LN STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445071",
            "telephone_number": "469-466-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER-MOSES",
        "first_name": "TEDRIL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "F05200161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.