Active NPI
Rene Chavez Moya, DNP
- Pediatric Nurse Practitioner
- Artesia, NM
National Provider Identifier
1841694015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- CNP-02512
- Practice address
- 608 N 1St St
Artesia, NM 88210-1402 - Phone
- (575) 746-2416
- NPI assigned
- Oct 17, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | CNP-02512 | NM | Primary |
Addresses
Primary practice location
608 N 1St St
Artesia, NM 88210-1402
Mailing address
608 N 1St St
Artesia, NM 88210-1402
Phone (575) 746-2416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33650012 | Medicaid | NM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-02512 | NM | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- rene@bca.pcc-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428451200000",
"number": "1841694015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 N 1ST ST",
"city": "ARTESIA",
"state": "NM",
"postal_code": "882101402",
"telephone_number": "575-746-2416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 N 1ST ST",
"city": "ARTESIA",
"state": "NM",
"postal_code": "882101402",
"telephone_number": "575-746-2416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYA",
"first_name": "RENE",
"middle_name": "CHAVEZ",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-17",
"last_updated": "2015-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NM",
"license": "CNP-02512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33650012",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Artesia, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.