Individual provider Active NPI

Hannah Grace Moffitt, FNP

  • Family Nurse Practitioner
  • Tomball, TX
National Provider Identifier
1831601491
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132822 Issued in TX
Practice address
455 School St Ste 30
Tomball, TX 77375-4595
Phone
(281) 357-0747
Fax
(832) 559-5190
NPI assigned
Nov 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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 AP132822 TX Primary
Registered Nurse 163W00000X 837924 TX

Addresses

Primary practice location

455 School St Ste 30
Tomball, TX 77375-4595

Mailing address

455 School St Ste 30
Tomball, TX 77375-4595
Phone (281) 357-0747

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
I20180410000489 TX Practitioner - Nurse Practitioner 2567725302 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
837924TXMDRegistered Nurse
AP132822TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tomagwa Ministries, Inc CurrentSince Jan 5, 2021 Accepting new patients
Tomagwa Ministries, Inc CurrentSince Jan 5, 2021 Accepting new patients
Diagnostic Pro Imaging Past Accepting new patients

Locations

18230 FM 1488 Rd
Ste 203
Magnolia, TX 77354
Phone (281) 537-0747

455 School St
Ste 30
Tomball, TX 77375
Phone (281) 357-0747

Interoperability endpoints

  • Direct secure messaging: hannah.moffitt.2@15235.direct.athenahealth.com

Organizations & group practices 4

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": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1831601491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SCHOOL ST STE 30",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754595",
            "telephone_number": "281-357-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SCHOOL ST STE 30",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754595",
            "telephone_number": "281-357-0747",
            "fax_number": "832-559-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFITT",
        "first_name": "HANNAH",
        "middle_name": "GRACE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132822",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "837924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.