Active NPI
Nuzhat Moinuddin, APRN CNP
- Family Nurse Practitioner
- Coppell, TX
National Provider Identifier
1730890377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704312654
- Practice address
- 149 SH 121
Suite 105
Coppell, TX 75019 - Phone
- (972) 833-7246
- NPI assigned
- Dec 5, 2022
- Last updated
- Sep 15, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1089422 | TX | |
| Family Nurse Practitioner | 363LF0000X | 4704312654 | MI | Primary |
Addresses
Primary practice location
149 SH 121
Suite 105
Coppell, TX 75019
Mailing address
149 SH 121
Suite 105
Coppell, TX 75019
Phone (972) 833-7246
Other practice location 1
6501 Greenfield Rd Ste A
Detroit, MI 48228-4780
Phone (586) 467-2125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2806 W FM
Suite 544
Wylie, TX 75098-7022
5730 Creek Crossing LN
Sachse, TX 75048-6605
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1089422 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siai, PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Physician
- Wylie, TX
- NPI 1588022800
-
- Family Medicine Physician
- Wylie, TX
- NPI 1295165967
-
dba Apex Interventional Pain and Spine
- Interventional Pain Medicine Physician
- Coppell, TX
- NPI 1366065997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1730890377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 SH 121",
"address_2": "SUITE 105",
"city": "COPPELL",
"state": "TX",
"postal_code": "75019",
"telephone_number": "972-833-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 SH 121",
"address_2": "SUITE 105",
"city": "COPPELL",
"state": "TX",
"postal_code": "75019",
"telephone_number": "972-833-7246"
}
],
"practiceLocations": [
{
"address_1": "6501 Greenfield Rd Ste A",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482284780",
"country_code": "US",
"telephone_number": "586-467-2125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOINUDDIN",
"first_name": "NUZHAT",
"credential": "APRN CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-05",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1089422",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704312654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.