Active NPI
Tedril Fletcher-Moses, FNP
- Family Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F05200161
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| F05200161 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restorixhealth at-Home, LLC | Nurse Practitioner | Current | Accepting new patients |
| Passages, LLC | Current | Accepting new patients | |
| Passages Palliative Care LLC | Current | Accepting new patients | |
| WCS Professional Services of Louisiana, LLC | Nurse Practitioner | Current | 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
- tedril.fletchermoses.p1@direct.alegiscare.nextgenshare.com
- 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.
-
dba Passages Palliative Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- New Orleans, LA
- NPI 1952924672
-
- Nurse Practitioner
- Metairie, LA
- NPI 1851644876
-
- Nurse Practitioner
- Metairie, LA
- NPI 1255974689
-
dba Passages Hospice
- Community Based Hospice Care Agency
- Mandeville, LA
- NPI 1114207321
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.