Misty Dawn Mora, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

CNP-02836 Issued in NM

Practice address

1265 Anthony Dr.
Anthony, NM 88021-4530

Phone

(575) 882-2956

Fax

(575) 882-1863

NPI assigned

Feb 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rocas, Inc.

  • Pediatrics Physician
  • Anthony, NM
  • NPI 1497805618
  NPD (past)

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1639538424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4530",
            "city": "ANTHONY",
            "state": "TX",
            "postal_code": "798214530",
            "telephone_number": "575-882-2956",
            "fax_number": "575-882-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 ANTHONY DR.",
            "city": "ANTHONY",
            "state": "NM",
            "postal_code": "880214530",
            "telephone_number": "575-882-2956",
            "fax_number": "575-882-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "MISTY",
        "middle_name": "DAWN",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP129834",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NM",
            "license": "CNP-02836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PNCB",
            "identifier": "20153731",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "AP129834",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO BOARD OF NURSING",
            "identifier": "CNP-02836",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Montes, LCSW
• Leslie Zarahi Montoya, CASE MANAGER
• Jocelyn Carol Moore, LMSW
• Brianna M Mora
• Joe Mora Jr., ATC
• Flor Morales
• Manuela Morales, LMHC
• Viridiana Y Morales
• Andrew Moralez
• Alejandra Moreno, M.A. CF-SLP

• Pediatric Nurse Practitioner in Anthony, NM
• Providers in Anthony, NM by specialty
• Pediatric Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.