Katherine Ennis Moebes, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-140430 Issued in AL

Practice address

7500 Highway 72 W
Madison, AL 35758-9554

Phone

(256) 964-8338

NPI assigned

Aug 12, 2019

Last updated

Aug 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• QC Wellness, LLC

  • Urgent Care Clinic/Center
  • Madison, AL
  • NPI 1194274472
  NPD

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1881240265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HIGHWAY 72 W",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589554",
            "telephone_number": "256-964-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HIGHWAY 72 W",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589554",
            "telephone_number": "256-964-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEBES",
        "first_name": "KATHERINE",
        "middle_name": "ENNIS",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-140430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Serenity Counseling, LLC
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• Keitha Hallmark Mitchell, CRNP
• Purvi B Mody, PHARM.D
• Monrovia Family Dentistry
• Monrovia Family Pharmacy
• Shelly Kristin Montalvo, CRNP
• Brendella Turnbow Montgomery, M.D.
• Charles Montgomery, LPC

• Family Nurse Practitioner in Madison, AL
• Providers in Madison, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.