Individual provider Active NPI

Nhlanhla Moyo, PMHNP- BC

  • Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1841701422
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95012918 Issued in CA
Practice address
3301 37TH Street
Sacramento, CA 95824
Phone
(916) 210-8773
Fax
(916) 395-5904
NPI assigned
Oct 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95094023 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95012918 CA
Nurse Practitioner 363L00000X 95012918 CA Primary

Addresses

Primary practice location

3301 37TH Street
Sacramento, CA 95824

Mailing address

6810 Di Lusso Dr Apt 133
Elk Grove, CA 95758-5885
Phone (916) 262-4890

Other practice location 1

7171 Bowling Dr Ste 300
Sacramento, CA 95823-2043
Phone (916) 394-9195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210419001725 CA Practitioner - Nurse Practitioner 4284042995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Better Days Psychiatric Nursing IncGroup PAC ID 6002285012, 2 clinicians

Practice addresses (Care Compare)

2000 L St
Suite 150
Sacramento, CA 95811-4256
Phone (916) 512-3063

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95094023CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Better Days Psychiatric Nursing Inc Psychiatric/Mental Health CurrentSince Feb 14, 2024 Accepting new patients
Felton Institute PastSince Feb 22, 2021 Accepting new patients
Felton Institute Past Accepting new patients

Locations

2000 L St
Ste 150
Sacramento, CA 95811
Phone (661) 319-1560

Organizations & group practices 3

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": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1841701422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 DI LUSSO DR APT 133",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585885",
            "telephone_number": "916-262-4890",
            "fax_number": "916-244-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 37TH STREET",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95824",
            "telephone_number": "916-210-8773",
            "fax_number": "916-395-5904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7171 Bowling Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958232043",
            "country_code": "US",
            "telephone_number": "916-394-9195",
            "fax_number": "916-392-2827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYO",
        "first_name": "NHLANHLA",
        "name_prefix": "Mr.",
        "credential": "PMHNP- BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-23",
        "last_updated": "2021-11-29",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95094023",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95012918",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.