Chelsea Moorhead, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

904400 Issued in MS

Practice address

1055 Highway 49 S Ste B
Richland, MS 39218-7517

Phone

(769) 251-1187

NPI assigned

Jan 23, 2020

Last updated

Sep 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1679103139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 PORT ARBOR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477090",
            "telephone_number": "662-364-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 HIGHWAY 49 S STE B",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "392187517",
            "telephone_number": "769-251-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORHEAD",
        "first_name": "CHELSEA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2021-09-03",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Foundation of Central Ms Inc (Baptist medical Clinic Family Medicine Richland)
• Medical Systems Management LLC (Rankin Rural Medical Clinic)
• Medical Systems Management LLC (Rankin Rural Medical Clinic)
• George Otto Merrill Jr., RPH
• Mississippi CVS Pharmacy, L.L.C. (CVS Pharmacy # 05878)
• Dean Morris
• Erica Courtney Moss, APRN, FNP-BC
• Jennifer K. Myers, M.D.
• Lee Arthur Newman III, PT
• Oh for Feet Sake, LLC.

• Family Nurse Practitioner in Richland, MS
• Providers in Richland, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.