Active NPI
Willie Moses, REGISTERED NURSE
- Adult Psychiatric/Mental Health Registered Nurse
- Chula Vista, CA
National Provider Identifier
1487027744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 517746
- Practice address
- 55 E Flower St
Apt 267
Chula Vista, CA 91910-7611 - Phone
- (619) 913-0168
- NPI assigned
- Nov 9, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 517746 | CA | Primary |
Addresses
Primary practice location
55 E Flower St
Apt 267
Chula Vista, CA 91910-7611
Mailing address
55 E Flower St
Apt 267
Chula Vista, CA 91910-7611
Phone (619) 913-0168
Other names 1
- Bill Moses
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 517746 | CA | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1487027744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 E FLOWER ST",
"address_2": "APT 267",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919107611",
"telephone_number": "619-913-0168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 E FLOWER ST",
"address_2": "APT 267",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919107611",
"telephone_number": "619-913-0168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSES",
"first_name": "WILLIE",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-09",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "CA",
"license": "517746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BILL",
"last_name": "MOSES",
"credential": "REGISTERED NURSE",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.