Individual provider Active NPI

Leila Denise Moser, APRN

  • Adult Health Nurse Practitioner
  • Akron, OH
National Provider Identifier
1871592980
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP06645 Issued in OH
Practice address
55 Arch St
Akron, OH 44304-1423
Phone
(330) 375-3315
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.06645 OH
Adult Health Nurse Practitioner 363LA2200X NP06645 OH Primary

Addresses

Primary practice location

55 Arch St
Akron, OH 44304-1423

Mailing address

55 Arch St
Akron, OH 44304-1436
Phone (330) 375-3315

Other practice location 1

3545 Lincoln Way E Ste B
Massillon, OH 44646-8624
Phone (513) 834-7063

Other identifiers 1

IdentifierTypeStateIssuer
2301753MedicaidOH

Other names 1

  • Miss Leila Denise Boville Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1871592980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ARCH ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041436",
            "telephone_number": "330-375-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ARCH ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041423",
            "telephone_number": "330-375-3315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3545 Lincoln Way E Ste B",
            "address_purpose": "LOCATION",
            "city": "Massillon",
            "state": "OH",
            "postal_code": "446468624",
            "country_code": "US",
            "telephone_number": "513-834-7063",
            "fax_number": "513-873-1567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSER",
        "first_name": "LEILA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.06645",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP06645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2301753",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEILA",
            "last_name": "BOVILLE",
            "middle_name": "DENISE",
            "prefix": "MISS",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.