Active NPI
Krista Denise Moffis, LMSW
- Social Worker
- Nampa, ID
National Provider Identifier
1578828554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW 32243
- Practice address
- 1224 1St St S
Suite 306
Nampa, ID 83651-3900 - Phone
- (208) 484-7974
- Fax
- (208) 442-8052
- NPI assigned
- Jul 6, 2012
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW 32243 | ID | Primary |
Addresses
Primary practice location
1224 1St St S
Suite 306
Nampa, ID 83651-3900
Mailing address
1224 S. First Street
Suite 306
Nampa, ID 83651
Phone (208) 484-7974
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 |
|---|---|---|---|
| LMSW 32243 | ID | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341532800000",
"number": "1578828554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 S. FIRST STREET",
"address_2": "SUITE 306",
"city": "NAMPA",
"state": "ID",
"postal_code": "83651",
"telephone_number": "208-484-7974",
"fax_number": "208-442-8052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 1ST ST S",
"address_2": "SUITE 306",
"city": "NAMPA",
"state": "ID",
"postal_code": "836513900",
"telephone_number": "208-484-7974",
"fax_number": "208-442-8052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFFIS",
"first_name": "KRISTA",
"middle_name": "DENISE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-06",
"last_updated": "2012-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW 32243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.