Active NPI
Sherry Rayne Moya, FNP-BC
- Family Nurse Practitioner
- Roswell, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R67236
- Practice address
- 300 W Country Club Rd Ste 230
Roswell, NM 88201-5240 - Phone
- (575) 622-1411
- Fax
- (575) 624-5630
- NPI assigned
- Jul 30, 2008
- Last updated
- Sep 28, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN173415 | GA | |
| Family Nurse Practitioner | 363LF0000X | R67236 | NM | Primary |
Addresses
Primary practice location
300 W Country Club Rd Ste 230
Roswell, NM 88201-5240
Mailing address
300 W Country Club Rd Ste 230
Roswell, NM 88201-5240
Phone (575) 622-1411
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sherry.moya.1@1610.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R67236 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nes Arizona Inc | Current | Accepting new patients | |
| Las Cruces HB Medical Services LLC | Current | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients |
Locations
2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100
4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800
405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170
Interoperability endpoints
- sherry.moya.1@1610.direct.athenahealth.com
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1922264902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W COUNTRY CLUB RD STE 230",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015240",
"telephone_number": "575-622-1411",
"fax_number": "575-624-5630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W COUNTRY CLUB RD STE 230",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015240",
"telephone_number": "575-622-1411",
"fax_number": "575-624-5630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYA",
"first_name": "SHERRY",
"middle_name": "RAYNE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-30",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN173415",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "R67236",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sherry.moya.1@1610.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMD Direct Address",
"address_1": "300 W Country Club Rd Ste 230",
"city": "Roswell",
"state": "NM",
"country_code": "US",
"postal_code": "882015240",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.