Individual provider Active NPI

Kristin Elizabeth Moser, DNP, PMHNP-BC, BSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1922733872
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95036573 Issued in CA
Practice address
4440 Duckhorn Dr Ste 420
Sacramento, CA 95834-2594
Phone
(916) 800-4363
NPI assigned
Jul 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95036573 CA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN95165358 CA

Addresses

Primary practice location

4440 Duckhorn Dr Ste 420
Sacramento, CA 95834-2594

Mailing address

4440 Duckhorn Dr Ste 420
Sacramento, CA 95834-2594
Phone (916) 800-4363

Other practice location 1

4250 Auburn Blvd
Sacramento, CA 95841-4164
Phone (916) 489-3336

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN95165358CAMDPsychiatric/Mental Health Registered Nurse
95036573CAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1922733872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 DUCKHORN DR STE 420",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342594",
            "telephone_number": "916-800-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 DUCKHORN DR STE 420",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342594",
            "telephone_number": "916-800-4363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4250 Auburn Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958414164",
            "country_code": "US",
            "telephone_number": "916-489-3336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSER",
        "first_name": "KRISTIN",
        "middle_name": "ELIZABETH",
        "credential": "DNP, PMHNP-BC, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95036573",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "RN95165358",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.