Active NPI
Marsha D Moczygemba, LVN
- Licensed Vocational Nurse
- San Antonio, TX
National Provider Identifier
1710294418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 149154
- 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, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 149154 | TX | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Orthopedic Performance Institute
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
-
- Podiatrist
- San Antonio, TX
- NPI 1225575889
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
- Shanpella M Mobley, DA
- Moc San Antonio II LLC (Rapid Recovery Center of San Antonio)
- Steffany Lea Mock, PA-C
- Mockingbird Optical Shop LLC
- Julie Elaine Moczygemba, PHYSICIAN ASSISTANT
- Roger M Moczygemba, MD
- Rudolph Moczygemba, RRT
- Shelby Marie Moczygemba, PT, DPT
- Valerie J Moczygemba, LPC
- Modelohz Association
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.