Individual provider Active NPI

Euphemia Mose, RN

  • Administrator Registered Nurse
  • Grand Prairie, TX
National Provider Identifier
1619763182
Registry record updated Apr 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
761979 Issued in TX
Practice address
3528 Pecos Way
Grand Prairie, TX 75052-7850
Phone
(763) 516-4191
Fax
(763) 516-4191
NPI assigned
Apr 19, 2025
Last updated
Apr 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 761979 TX Primary

Addresses

Primary practice location

3528 Pecos Way
Grand Prairie, TX 75052-7850

Mailing address

3528 Pecos Way
Grand Prairie, TX 75052-7850
Phone (763) 516-4191

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
761979TXMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mal & Mal Home Health LLC CurrentSince Apr 20, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745020800000",
    "number": "1619763182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3528 PECOS WAY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527850",
            "telephone_number": "763-516-4191",
            "fax_number": "763-516-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3528 PECOS WAY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527850",
            "telephone_number": "763-516-4191",
            "fax_number": "763-516-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSE",
        "first_name": "EUPHEMIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-19",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "761979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.