Active NPI
Denise Susan Moyers, RN, CCM
- Case Management Registered Nurse
- Fort Riley, KS
National Provider Identifier
1457954034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 13-78704-22
- Practice address
- 650 Huebner Road
Dept of Behavioral Health (Cafbhs)
Fort Riley, KS 66442 - Phone
- (785) 240-7491
- Fax
- (785) 240-8357
- NPI assigned
- Nov 17, 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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 13-78704-22 | KS | Primary |
Addresses
Primary practice location
650 Huebner Road
Dept of Behavioral Health (Cafbhs)
Fort Riley, KS 66442
Mailing address
650 Huebner Road
Dept of Behavioral Health (Cafbhs)
Fort Riley, KS 66442
Phone (785) 240-7491
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-78704-22 | KS | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1457954034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 HUEBNER ROAD",
"address_2": "DEPT OF BEHAVIORAL HEALTH (CAFBHS)",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "66442",
"telephone_number": "785-240-7491",
"fax_number": "785-240-8357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 HUEBNER ROAD",
"address_2": "DEPT OF BEHAVIORAL HEALTH (CAFBHS)",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "66442",
"telephone_number": "785-240-7491",
"fax_number": "785-240-8357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYERS",
"first_name": "DENISE",
"middle_name": "SUSAN",
"credential": "RN, CCM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2020-11-17",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "KS",
"license": "13-78704-22",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Riley, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.