Individual provider Active NPI

Nuzhat Moinuddin, APRN CNP

  • Family Nurse Practitioner
  • Coppell, TX
National Provider Identifier
1730890377
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704312654 Issued in MI
Practice address
149 SH 121
Suite 105
Coppell, TX 75019
Phone
(972) 833-7246
NPI assigned
Dec 5, 2022
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260626004781 TX Practitioner - Nurse Practitioner 5395218663 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
1089422TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.