Active NPI
Donna Marshall Moyer, PHD, RN, PCNS-BC
- Pediatric Clinical Nurse Specialist
- Kalamazoo, MI
National Provider Identifier
1497369581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Clinical Nurse Specialist
- License
- 4704196957
- Practice address
- 601 John St # 53
Kalamazoo, MI 49007-5341 - Phone
- (269) 341-7156
- NPI assigned
- Sep 4, 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 |
|---|---|---|---|---|
| Pediatric Clinical Nurse Specialist | 364SP0200X | 4704196957 | MI | Primary |
Addresses
Primary practice location
601 John St # 53
Kalamazoo, MI 49007-5341
Mailing address
4330 Old Field TRL
Kalamazoo, MI 49008-3374
Phone (269) 760-7189
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
- Doctor of Philosophy, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704196957 | MI | MD | Pediatric Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599177600000",
"number": "1497369581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 OLD FIELD TRL",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490083374",
"telephone_number": "269-760-7189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 JOHN ST # 53",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490075341",
"telephone_number": "269-341-7156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL MOYER",
"first_name": "DONNA",
"name_prefix": "Dr.",
"credential": "PHD, RN, PCNS-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-04",
"last_updated": "2020-09-04",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Pediatrics",
"state": "MI",
"license": "4704196957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.