Bernadette Carol Moxham

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

247570 Issued in NY

Practice address

214 State St
Schenectady, NY 12305-1806

Phone

(518) 372-8178

NPI assigned

Oct 22, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1679116735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 STATE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051806",
            "telephone_number": "518-372-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 STATE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051806",
            "telephone_number": "518-372-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOXHAM",
        "first_name": "BERNADETTE",
        "middle_name": "CAROL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "247570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce A. Mosher
• Stephanie Lynn Moshinskie, NP
• Carlie Elizabeth Moss
• Michelle Mostoller
• Jennifer Motel
• Michael Morgan Mueller, MS, PA-C
• Brandi L Mugits, LPN
• Rahshon Muhammad, NP
• Anna Beth Mulholland, OTR/L
• Karen A Mulholland, PA-C

• Licensed Practical Nurse in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.