Juliette Montauk-Moschler, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5010787 Issued in NC

Practice address

705 Main St
Danville, VA 24541-1803

Phone

(434) 791-3412

Fax

(434) 791-4126

NPI assigned

May 3, 2018

Last updated

Jul 21, 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 VA

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

Practice roles

Locations

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.

• Piedmont Access to Health Services, Inc

  dba Health Centers of the Piedmont South Boston

  • Federally Qualified Health Center (FQHC)
  • South Boston, VA
  • NPI 1235677634
  Medicare reassignment NPD
• Piedmont Access to Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Danville, VA
  • NPI 1649240698
  Medicare reassignment NPD
• Piedmont Access to Health Services Inc

  dba Health Center of Piedmont Danville

  • Federally Qualified Health Center (FQHC)
  • Danville, VA
  • NPI 1578696910
  NPD
• Piedmont Access to Health Services, Inc

  dba PATHS Community Medical Center Danville Riverside

  • Federally Qualified Health Center (FQHC)
  • Danville, VA
  • NPI 1114630662
  NPD
• Piedmont Access to Health Services, Inc

  dba PATHS Community Pharmacy

  • Community/Retail Pharmacy
  • South Boston, VA
  • NPI 1821748856
  NPD (past)

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1710476973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411803",
            "telephone_number": "434-791-3630",
            "fax_number": "434-791-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411803",
            "telephone_number": "434-791-3412",
            "fax_number": "434-791-4126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Hairston St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245404137",
            "country_code": "US",
            "telephone_number": "434-799-0436 x3114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Highland Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271014304",
            "country_code": "US",
            "telephone_number": "866-275-9552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1104A S Main St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "27292",
            "country_code": "US",
            "telephone_number": "336-242-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTAUK-MOSCHLER",
        "first_name": "JULIETTE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5010787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modern Pharmacy Inc
• Jacob Theodoor Moll, M.D.
• Momentum Day Services LLC
• Monica Mosley DDS, PC (danville pediatric dentistry)
• Emil Wolden Hjorth Montano, DO
• Austin Lee Moon, DDS
• Charles Keith Moon Jr., FNP
• Carol Moore
• Michael Allan Moore, M.D.
• Shykela L Moore

• Psychiatric/Mental Health Nurse Practitioner in Danville, VA
• Providers in Danville, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.