Active NPI
Nancy M. Chavez-Mozingo, IDMT
- Independent Duty Medical Technicians
- Tinker Afb, OK
National Provider Identifier
1497084180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Medical Technicians
- Practice address
- 7050 Air Depot Blvd
Tinker Afb, OK 73145-8716 - Phone
- (405) 734-2778
- NPI assigned
- Dec 9, 2009
- 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 |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | Primary |
Addresses
Primary practice location
7050 Air Depot Blvd
Tinker Afb, OK 73145-8716
Mailing address
7050 Air Depot Blvd
Tinker Afb, OK 73145-8716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497084180 | Other | USAF |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1497084180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7050 AIR DEPOT BLVD",
"city": "TINKER AFB",
"state": "OK",
"postal_code": "731458716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7050 AIR DEPOT BLVD",
"city": "TINKER AFB",
"state": "OK",
"postal_code": "731458716",
"telephone_number": "405-734-2778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ-MOZINGO",
"first_name": "NANCY",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "IDMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-09",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1003X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Medical Technicians",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USAF",
"identifier": "1497084180",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tinker Afb, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.