Individual provider Active NPI

Emily Moser

  • Psychiatric/Mental Health Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1639983034
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
907165 Issued in MS
Practice address
1937 Briar Ridge Rd
Tupelo, MS 38804-5963
Phone
(662) 690-4200
NPI assigned
Feb 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 907165 MS Primary

Addresses

Primary practice location

1937 Briar Ridge Rd
Tupelo, MS 38804-5963

Mailing address

407 Madison St
New Albany, MS 38652-4443
Phone (385) 368-4692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250617003266 MS Practitioner - Nurse Practitioner 7214448182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sound Mind Psychiatry PLLCGroup PAC ID 2264856673, 7 clinicians

Practice addresses (Care Compare)

218 B S Denton Rd
New Albany, MS 38652-2810
Phone (662) 598-8141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
907165MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Mind Psychiatry PLLC Psychiatric/Mental Health CurrentSince May 29, 2025 Accepting new patients

Locations

105 W Hamilton St
Houston, MS 38851
Phone (662) 305-5998

218 S Denton Rd
#B
New Albany, MS 38652
Phone (662) 305-5998

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": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1639983034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 MADISON ST",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386524443",
            "telephone_number": "385-368-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 BRIAR RIDGE RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388045963",
            "telephone_number": "662-690-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "907165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.