Nicolle Renee Ahles-Moses, APRN, CNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

CNP1814 Issued in MN

Practice address

10081 Dogwood St NW Ste 100
Coon Rapids, MN 55448-5282

Phone

(763) 783-3722

NPI assigned

Jul 24, 2007

Last updated

Mar 17, 2018By 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)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nicolle.ahles-moses.1@28275.direct.athenahealth.com

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.

• Eagan Valley Pediatrics, P.a.

  • Clinic/Center
  • Apple Valley, MN
  • NPI 1528050119
  NPD (past)
• Today Care

  • Pediatrics Physician
  • Apple Valley, MN
  • NPI 1003040221
  NPD (past)

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902006166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10081 DOGWOOD ST NW STE 100",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554485282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10081 DOGWOOD ST NW STE 100",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554485282",
            "telephone_number": "763-783-3722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "347 Smith Ave N",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551022387",
            "country_code": "US",
            "telephone_number": "651-220-6705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHLES-MOSES",
        "first_name": "NICOLLE",
        "middle_name": "RENEE",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "CNP1814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Affordable Dentures & Implants - Coon Rapids, P.C. (Affordable Dentures & Implants - Coon Rapids)
• Ramon Aguirre, D.D.S., M.S.
• Obinna E. Agujiobi, M.D.
• Shannon V Ahern, DPT
• Cynthia Laramy Ahler, RN CNP
• Gina Marie Ahlness, APRN ,CNP
• Naseer Ahmad, M.D.
• Ahmed Ahmed
• Mohammed NMN Ahmed, MD
• Syed S Ahmed, PHARM-D

• Pediatric Nurse Practitioner in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Pediatric Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.