Individual provider Active NPI

Bill R Moss

  • Health & Wellness Coach
  • McAlester, OK
National Provider Identifier
1750052494
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
1609 N Strong Blvd Ste 500a
McAlester, OK 74501-3839
Phone
(918) 715-3114
Fax
(918) 916-8004
NPI assigned
Sep 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X Primary

Addresses

Primary practice location

1609 N Strong Blvd Ste 500a
McAlester, OK 74501-3839

Mailing address

1609 N Strong Blvd Ste 500a
McAlester, OK 74501-3839
Phone (918) 715-3114

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Fitness Health & Wellness Coach CurrentSince Sep 28, 2021 Accepting new patients
Medical Fitness Institute of Oklahoma Inc. CurrentSince Sep 28, 2021 Accepting new patients

Locations

1609 N Strong Blvd
Ste 500A
McAlester, OK 74501
Phone (918) 715-3114

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1750052494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 N STRONG BLVD STE 500A",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745013839",
            "telephone_number": "918-715-3114",
            "fax_number": "918-916-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 N STRONG BLVD STE 500A",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745013839",
            "telephone_number": "918-715-3114",
            "fax_number": "918-916-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "BILL",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.