Individual provider Active NPI

Rebecca Mackenzie Moates, FNP-C

  • Family Nurse Practitioner
  • Maineville, OH
National Provider Identifier
1629453576
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17538-NP Issued in OH
Practice address
67 Nunner Rd
Maineville, OH 45039-9632
Phone
(513) 677-2405
Fax
(513) 677-2781
NPI assigned
Jul 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17538-NP OH Primary

Addresses

Primary practice location

67 Nunner Rd
Maineville, OH 45039-9632

Mailing address

67 Nunner Rd
Maineville, OH 45039-9632
Phone (513) 677-2405

Other names 1

  • Rebecca Scherer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
17538-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Springdale Pediatrics Associates, Inc. Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1629453576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 NUNNER RD",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450399632",
            "telephone_number": "513-677-2405",
            "fax_number": "513-677-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 NUNNER RD",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450399632",
            "telephone_number": "513-677-2405",
            "fax_number": "513-677-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOATES",
        "first_name": "REBECCA",
        "middle_name": "MACKENZIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "17538-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SCHERER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maineville, OH

Sources for this page

Verify at the official NPI Registry.