Active NPI
Zandy Moes, RN-BSN
- Registered Nurse
- Black Creek, WI
National Provider Identifier
1659773323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 116452
- Practice address
- 502 Field Crest Lane
Black Creek, WI 54106 - Phone
- (920) 841-0213
- NPI assigned
- Sep 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 116452 | WI | Primary |
Addresses
Primary practice location
502 Field Crest Lane
Black Creek, WI 54106
Mailing address
PO Box 281
Black Creek, WI 54106-0281
Phone (920) 841-0213
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116452 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411516800000",
"number": "1659773323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 281",
"city": "BLACK CREEK",
"state": "WI",
"postal_code": "541060281",
"telephone_number": "920-841-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 FIELD CREST LANE",
"city": "BLACK CREEK",
"state": "WI",
"postal_code": "54106",
"telephone_number": "920-841-0213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOES",
"first_name": "ZANDY",
"credential": "RN-BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-24",
"last_updated": "2014-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "116452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Black Creek, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.