Marnie Ellen Moose, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

57634 Issued in WV

Practice address

502 Main St W
Oak Hill, WV 25901-3416

Phone

(304) 465-1030

Fax

(304) 469-9811

NPI assigned

Jul 19, 2007

Last updated

Jan 10, 2012By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: marniemoose@arh.medalliesdirect.net

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.

• Marnie Moose NP, LLC

  dba The Med Spa

  • Nurse Practitioner
  • Summersville, WV
  • NPI 1518849272
  NPD Authorized official

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1790985679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 MAIN ST W",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259013416",
            "telephone_number": "304-465-1030",
            "fax_number": "304-469-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MAIN ST W",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259013416",
            "telephone_number": "304-465-1030",
            "fax_number": "304-469-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSE",
        "first_name": "MARNIE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "57634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kay F Moore
• Michael Landon Moore
• Nellie Faye Moore
• Olivia Moore
• Sherry Deloris Moore
• Cassy Ann Morehead
• Debra A Morehead
• Ashley Morris
• Mary Jane Morris
• Dottie Morrison

• Family Nurse Practitioner in Oak Hill, WV
• Providers in Oak Hill, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.