Individual provider Active NPI

Jane Greenfield Moscoe, P.A.-C.

  • Physician Assistant
  • Wilmore, KY
National Provider Identifier
1972608461
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA017 Issued in KY
Practice address
100 Veterans Dr
Wilmore, KY 40390-9775
Phone
(859) 858-2814
Fax
(859) 258-8610
NPI assigned
Sep 13, 2006
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA017 KY
Physician Assistant 363A00000X PA017 KY Primary

Addresses

Primary practice location

100 Veterans Dr
Wilmore, KY 40390-9775

Mailing address

100 Veterans Dr
Wilmore, KY 40390-9775
Phone (859) 858-2814

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA017KYMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1972608461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VETERANS DR",
            "city": "WILMORE",
            "state": "KY",
            "postal_code": "403909775",
            "telephone_number": "859-858-2814",
            "fax_number": "859-258-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VETERANS DR",
            "city": "WILMORE",
            "state": "KY",
            "postal_code": "403909775",
            "telephone_number": "859-858-2814",
            "fax_number": "859-258-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCOE",
        "first_name": "JANE",
        "middle_name": "GREENFIELD",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA017",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmore, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.