Individual provider Active NPI

Theresa J Moix, A.P.N.

  • Obstetrics & Gynecology Nurse Practitioner
  • Conway, AR
National Provider Identifier
1922201839
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
A01533 Issued in AR
Practice address
2519 College Ave
Conway, AR 72034-6135
Phone
(501) 450-3920
Fax
(501) 450-7718
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X A01533 AR Primary
Women's Health Nurse Practitioner 363LW0102X A001533 AR

Addresses

Primary practice location

2519 College Ave
Conway, AR 72034-6135

Mailing address

2519 College Ave
Conway, AR 72034-6135
Phone (501) 450-3920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20100429000585 AR Practitioner - Nurse Practitioner 4486781085 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A001533ARMDWomen's Health Nurse Practitioner
A01533ARMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Womens Health Center PA CurrentSince Jan 1, 2010 Accepting new patients
Womens Healthcare of Arkansas PLLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

2526 Highway 65 S
Ste 205
Clinton, AR 72031
Phone (501) 745-9403

2519 College Ave
Conway, AR 72034
Phone (501) 327-6547

2515 College Ave
Conway, AR 72034
Phone (501) 205-1215

2200 Ada Ave
Ste 301
Conway, AR 72034
Phone (501) 358-6560

9500 Baptist Health Dr
Ste 100
Little Rock, AR 72205
Phone (501) 224-5500

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1251

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.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1922201839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346135",
            "telephone_number": "501-450-3920",
            "fax_number": "501-450-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346135",
            "telephone_number": "501-450-3920",
            "fax_number": "501-450-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOIX",
        "first_name": "THERESA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "A.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AR",
            "license": "A01533",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AR",
            "license": "A001533",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.