Active NPI
Nichelle Moses
- Psychiatric/Mental Health Nurse Practitioner
- Menifee, CA
National Provider Identifier
1992609846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95220676
- Practice address
- 30680 Stage Coach Rd
Menifee, CA 92584-9393 - Phone
- (995) 325-0037
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95220676 | CA | Primary |
Addresses
Primary practice location
30680 Stage Coach Rd
Menifee, CA 92584-9393
Mailing address
30680 Stage Coach Rd
Menifee, CA 92584-9393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1992609846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30680 STAGE COACH RD",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925849393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30680 STAGE COACH RD",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925849393",
"telephone_number": "995-325-0037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSES",
"first_name": "NICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95220676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menifee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.