Individual provider Active NPI

Marsha D Moczygemba, LVN

  • Licensed Vocational Nurse
  • San Antonio, TX
National Provider Identifier
1710294418
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
149154 Issued in TX
Practice address
8811 Village Dr
Ste 150
San Antonio, TX 78217-5415
Phone
(210) 656-5098
Fax
(210) 656-5219
NPI assigned
Sep 2, 2010
Last updated
Apr 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 149154 TX Primary

Addresses

Primary practice location

8811 Village Dr
Ste 150
San Antonio, TX 78217-5415

Mailing address

8715 Village Dr Ste 518
San Antonio, TX 78217-5423
Phone (210) 656-5098

Other practice location 1

610 N Main Avenue
San Antonio, TX 78205-1204
Phone (210) 225-6508

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

LicenseStateTypeSpecialty
149154TXMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin R. Higgins DPM PA Past Accepting new patients
BHS Physicians Network, Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1710294418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 VILLAGE DR STE 518",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175423",
            "telephone_number": "210-656-5098",
            "fax_number": "210-656-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 VILLAGE DR",
            "address_2": "STE 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175415",
            "telephone_number": "210-656-5098",
            "fax_number": "210-656-5219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 N Main Avenue",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782051204",
            "country_code": "US",
            "telephone_number": "210-225-6508",
            "fax_number": "210-225-1486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOCZYGEMBA",
        "first_name": "MARSHA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "149154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.