Individual provider Active NPI

Myrna F Moxham I, MSN, RN

  • General Practice Registered Nurse
  • New Castle, DE
National Provider Identifier
1811319601
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
L1-0011857 Issued in DE
Practice address
42 Reads Way
Suite 135-136
New Castle, DE 19720-1649
Phone
(302) 324-5255
NPI assigned
Jan 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X L1-0011857 DE Primary

Addresses

Primary practice location

42 Reads Way
Suite 135-136
New Castle, DE 19720-1649

Mailing address

42 Reads Way
Suite 135-136
New Castle, DE 19720-1649
Phone (302) 324-5255

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
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
L1-0011857DEMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Works & Mind Matters, LLC Past Accepting new patients

Organizations & group practices 1

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": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1811319601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 READS WAY",
            "address_2": "SUITE 135-136",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197201649",
            "telephone_number": "302-324-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 READS WAY",
            "address_2": "SUITE 135-136",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197201649",
            "telephone_number": "302-324-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOXHAM",
        "first_name": "MYRNA",
        "middle_name": "F",
        "name_suffix": "I",
        "credential": "MSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "DE",
            "license": "L1-0011857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.