Individual provider Active NPI

Barnitta Latricia Moses, CPNP

  • Pediatric Nurse Practitioner
  • Randallstown, MD
National Provider Identifier
1861622318
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R124631 Issued in MD
Practice address
5400 Old Court Rd Ste 300B
Randallstown, MD 21133-5100
Phone
(410) 521-7337
Fax
(410) 521-7377
NPI assigned
Jul 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R124631 MD Primary

Addresses

Primary practice location

5400 Old Court Rd Ste 300B
Randallstown, MD 21133-5100

Mailing address

5400 Old Court Rd Ste 300B
Randallstown, MD 21133-5100
Phone (410) 521-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20170914000570 MD Practitioner - Nurse Practitioner 6103190194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5400 Old Court Rd
Suite 300B
Randallstown, MD 21133-5100
Phone (410) 521-7337

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Physicians, Inc CurrentSince Jul 1, 2021 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Jul 1, 2021 Accepting new patients
Lifebridge Suburban Physician Group II LLC CurrentSince Jul 16, 2017 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Lifebridge Suburban Physician Group II, LLC CurrentSince Jul 16, 2017 Accepting new patients
Lifebridge Suburban Physician Group II LLC Current Accepting new patients

Locations

5400 Old Court Rd
Ste 300B
Randallstown, MD 21133
Phone (410) 521-7337

12221 Tullamore Rd
Timonium, MD 21093
Phone (410) 308-7840

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

3527 N Rolling Rd
Ste 1
Windsor Mill, MD 21244
Phone (410) 521-7337

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1861622318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 OLD COURT RD STE 300B",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335100",
            "telephone_number": "410-521-7337",
            "fax_number": "410-521-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 OLD COURT RD STE 300B",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335100",
            "telephone_number": "410-521-7337",
            "fax_number": "410-521-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "BARNITTA",
        "middle_name": "LATRICIA",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-17",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R124631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

Verify at the official NPI Registry.