MRS. CARISSA ANNE MOSER (NPI# 1053649723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053649723 |
| Entity Type | Individual |
| Full Name | MRS. CARISSA ANNE MOSER |
| Credential | NP |
| Practice Address |
1200 J D Anderson Dr Morgantown WV 26505-3494 |
| Mailing Address |
Po Box 1615 Morgantown WV 26507-1615 |
| Practice Telephone | 3045986560 |
| Practice Fax Number | 3045986566 |
| Mailing Telephone | 3045986560 |
| Mailing Fax Number | 3045986566 |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2016-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN92044 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
APRN92044 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810029856 | 05 |
| Street Address |
1200 J D ANDERSON DR |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-3494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407840572 | John J Azar | Internal Medicine | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2005-09-06 |
| 1699383158 | Emily Joyce Courtwright | Physician Assistant | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2020-07-21 |
| 1912532466 | Grant Perrine | Registered Nurse | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2020-03-05 |
| 1225669286 | Elizabeth Sippey | Physician Assistant | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2020-01-29 |
| 1427692573 | Christina Maria Maust | Registered Nurse | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2019-11-01 |
| 1518517903 | Allison Hone | Nurse Practitioner | 1200 J D Anderson Dr, Morgantown, WV 26505 | 2019-09-17 |
| 1356999312 | Avery James Gookin | Internal Medicine | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2019-09-03 |
| 1851959134 | Rebecca Ruth Cain | Nurse Practitioner | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2019-06-03 |
| 1629634894 | Jancis Anne Hanna | Registered Nurse | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2019-05-14 |
| 1285297820 | Emily Ann Hair | Nurse Practitioner | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2019-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285055392 | Stephanie K Bartlett | Nurse Practitioner | 2000 Mon Health Medical Park Dr Ste 2100, Morgantown, WV 26505-1134 | 2013-12-17 |
| 1487912424 | Alicia Renee Dobranski | Nurse Practitioner | 1000 J D Anderson Dr, Suite 402, Morgantown, WV 26505-1241 | 2012-04-27 |
| 1487957163 | Carrie Arcure Pratt | Nurse Practitioner | 390 Birch Street, Morgantown, WV 26505-6894 | 2010-12-17 |
| 1518061977 | Amy Elizabeth Kitzmiller | Nurse Practitioner | 1322 Pineview Drive, Pineview Gynecology, Morgantown, WV 26505 | 2006-09-07 |
| 1740392307 | Nan S Leslie | Nurse Practitioner | 1 Medical Center Drive, Morgantown, WV 26506 | 2006-08-31 |
| 1396708236 | Jane C Koch | Nurse Practitioner | 2000 Mon Health Medical Park Dr Ste 2100, Morgantown, WV 26505 | 2006-04-11 |
| 1992771414 | Pamela S Courtney | Nurse Practitioner | 1 Medical Center Drive, Morgantown, WV 26506 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700436045 | Kylie Scott | Nurse Practitioner | 2520 Valley Dr, Point Pleasant, WV 25550-2031 | 2019-09-18 |
| 1427568831 | Brenna Joleen Sweeney | Nurse Practitioner | 104 Meadow Pointe, Barboursville, WV 25504-9209 | 2017-10-11 |
| 1780047548 | Cassandra Rae Sayre | Nurse Practitioner | 146 Williams Dr, Spencer, WV 25276-1826 | 2016-03-30 |
| 1023443215 | Breann Hawley Thomas | Nurse Practitioner | 97 Great Teays Blvd, Suite 6, Scott Depot, WV 25560-9815 | 2013-09-06 |
| 1033481585 | Summit Health Care, Inc | Nurse Practitioner | 31452 Veterans Memorial Hwy, Terra Alta, WV 26764-9715 | 2012-01-30 |
| 1376826891 | Brooke A Leaberry | Nurse Practitioner | 2900 1st Ave, Heart Center, Huntington, WV 25702-1241 | 2011-09-21 |
| 1083819544 | Laura E Adams | Nurse Practitioner | 1003 Oakhurst Dr, Charleston, WV 25314-2044 | 2007-06-15 |
| 1013130178 | Mary Lynne Perkins | Nurse Practitioner | 51 Street of Dreams, Martinsburg, WV 25401-1134 | 2007-04-10 |
| 1679639876 | Robin A Lewis | Nurse Practitioner | 510 Washington St W, Charleston, WV 25302-2036 | 2006-12-29 |
| 1073679254 | Womens Health Center of West Virginia Inc | Nurse Practitioner | 510 Washington St W, Charleston, WV 25302-2036 | 2006-12-29 |
| Find all providers with the same taxonomy | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
Please comment or provide details below to improve the information on MRS. CARISSA ANNE MOSER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.