Active NPI
Kelley Courtney Cuffy-Moe
- Family Nurse Practitioner
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024186854
- Practice address
- 830 Southampton Ave
Norfolk, VA 23510-1001 - Phone
- (757) 683-2718
- NPI assigned
- Mar 29, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001276761 | VA | |
| Family Nurse Practitioner | 363LF0000X | 0024186854 | VA | Primary |
Addresses
Primary practice location
830 Southampton Ave
Norfolk, VA 23510-1001
Mailing address
830 Southampton Ave
Norfolk, VA 23510-1001
Phone (757) 683-2718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001276761 | VA | MD | Registered Nurse |
| 0024186854 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consonant Healing Medical Associates | Current | Accepting new patients | |
| Healing Partners Plus PLLC | Current | Accepting new patients |
Locations
8403 Colesville Rd
Ste 1100
Silver Spring, MD 20910
Phone (301) 905-7762
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904
3900 Westerre Pkwy
Ste 300
Richmond, VA 23233
Phone (301) 928-5012
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1063217545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692489600000",
"number": "1871297119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 SOUTHAMPTON AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101001",
"telephone_number": "757-683-2718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 SOUTHAMPTON AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101001",
"telephone_number": "757-683-2718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUFFY-MOE",
"first_name": "KELLEY",
"middle_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-29",
"last_updated": "2023-08-20",
"certification_date": "2023-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001276761",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024186854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.