Active NPI
Kelli Moats
- Family Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1609293711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP5448
- Practice address
- 3043 W Ina Rd
#115
Tucson, AZ 85741-2107 - Phone
- (520) 797-7070
- Fax
- (520) 797-7077
- NPI assigned
- Mar 26, 2014
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP5448 | AZ | Primary |
Addresses
Primary practice location
3043 W Ina Rd
#115
Tucson, AZ 85741-2107
Mailing address
5055 E Broadway Blvd
A-100
Tucson, AZ 85711-3640
Phone (520) 327-0460
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395792000000",
"number": "1609293711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5055 E BROADWAY BLVD",
"address_2": "A-100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857113640",
"telephone_number": "520-327-0460",
"fax_number": "520-795-0225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3043 W INA RD",
"address_2": "#115",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857412107",
"telephone_number": "520-797-7070",
"fax_number": "520-797-7077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOATS",
"first_name": "KELLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-26",
"last_updated": "2014-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP5448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.