Tyasia Chanteniya Moulton

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

19429 Brassie PL Apt 301
Montgomery Village, MD 20886-1938

Phone

(240) 789-8465

NPI assigned

Jul 16, 2026

Last updated

Jul 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1784160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1467372987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19429 BRASSIE PL APT 301",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208861938",
            "telephone_number": "240-789-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19429 BRASSIE PL APT 301",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208861938",
            "telephone_number": "240-789-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "TYASIA",
        "middle_name": "CHANTENIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-16",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montgomery County Maryland Government
• Montgomery Operator LLC (Montgomery Village Care Center)
• Montgomery Physician Associates PC
• Montgomery Village Pain and Rehabilitation Center LLC
• Karla Montoya
• Amrita Mukherjee, D.O.
• Alimatu Kosnatu Nabie, CRNP
• National Vision, Inc. (Americas Best Contacts & Eyeglasses)
• Kiran V Nayudu, DDS
• Diana Pilar Nesko

• Community Health Worker in Montgomery Village, MD
• Providers in Montgomery Village, MD by specialty
• Community Health Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.