Active NPI
Timothy K Moss, A.P.N.
- Psychiatric/Mental Health Nurse Practitioner
- Franklin, TN
National Provider Identifier
1679603310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APN0000010677
- Practice address
- 1915 Columbia Ave
Franklin, TN 37064-3921 - Phone
- (615) 794-9973
- Fax
- (615) 794-9961
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN0000143944 | TN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN0000010677 | TN | Primary |
Addresses
Primary practice location
1915 Columbia Ave
Franklin, TN 37064-3921
Mailing address
1915 Columbia Ave
Franklin, TN 37064-3921
Phone (615) 794-9973
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04822865 | Medicaid | MS | |
| 1515300 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000143944 | TN | MD | Registered Nurse |
| APN0000010677 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volunteer Behavioral Health Care System | Past | Accepting new patients |
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.
-
dba Volunteer Behavioral Health
- Point of Service
- Chattanooga, TN
- NPI 1194974303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1679603310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 COLUMBIA AVE",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370643921",
"telephone_number": "615-794-9973",
"fax_number": "615-794-9961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 COLUMBIA AVE",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370643921",
"telephone_number": "615-794-9973",
"fax_number": "615-794-9961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "TIMOTHY",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "A.P.N.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN0000143944",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "APN0000010677",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04822865",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1515300",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.