Active NPI
Thabata Carvalho de Moraes
- Registered Nurse
- San Jose, CA
National Provider Identifier
1548090707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95364630
- Practice address
- 1922 The Alameda
San Jose, CA 95126-1457 - Phone
- (408) 261-7777
- NPI assigned
- Aug 2, 2024
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95364630 | CA | Primary |
Addresses
Primary practice location
1922 The Alameda
San Jose, CA 95126-1457
Mailing address
1480 Kimberly CT
San Jose, CA 95118-1726
Phone (951) 230-5017
Other practice location 1
2001 The Alameda
San Jose, CA 95126-1136
Phone (408) 261-7777
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 |
|---|---|---|---|
| 95364630 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1548090707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 KIMBERLY CT",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951181726",
"telephone_number": "951-230-5017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1922 THE ALAMEDA",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951261457",
"telephone_number": "408-261-7777"
}
],
"practiceLocations": [
{
"address_1": "2001 The Alameda",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951261136",
"country_code": "US",
"telephone_number": "408-261-7777",
"fax_number": "408-642-6052",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARVALHO DE MORAES",
"first_name": "THABATA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-02",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95364630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.