KELLY NICOLE MOSS


Address: 601 Spruce St, West Reading, PA 19611-1443
Phone: 4433702503

KELLY NICOLE MOSS (NPI# 1225512478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225512478
Entity Type Individual
Full Name KELLY NICOLE MOSS
Other Name KELLY NICOLE SEBZDA
Credential PA-C
Practice Address 601 Spruce St
West Reading
PA 19611-1443
Practice Telephone 4433702503
Mailing Telephone 4433702503
Enumeration Date 2018-09-23
Last Update Date 2020-01-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY MOSS

NPI Name Taxonomy Address Enumeration
1649646712 Kelly Moss Counselor 102 Aberdeen Dr, Sicklerville, NJ 08081-4338 2015-08-12
1396374476 Kelly Moss Behavior Technician 514 S Hunt Club Blvd, Apopka, FL 32703-4948 2020-04-02
1841640455 Kelly M. Moss Nurse Practitioner 700 Sullivan Rd, Statesville, NC 28677-3440 2016-06-14
1407023740 Kelly Paige Moss Psychologist 1650 Cochrane Circle, Evans Army Comm Hosp Behavioral Health 4th Floor, Apo, AA 80913-4604 2008-05-15
1114936192 Kelly G Moss Family Medicine 211 Ky 59, Vanceburg, KY 41179-7647 2006-08-07

Office Location

Street Address 601 SPRUCE ST
City WEST READING
State PA
Zip Code 19611-1443

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508849878 Tricia A Eckman Nurse Practitioner 601 Spruce St, West Reading, PA 19611-1443 2005-11-21
1467099531 Thusha Sivanantham Nurse Practitioner 601 Spruce St, West Reading, PA 19611-1443 2019-12-07
1356999635 William Maurice Doyon Jr. Specialist/Technologist, Other 601 Spruce St, West Reading, PA 19611-1443 2019-08-29
1376190777 Sara Elizabeth Mckenrick Physician Assistant 601 Spruce St, West Reading, PA 19611-1443 2019-08-20
1740794486 Karen A Pescatore Specialist/Technologist, Other 601 Spruce St, West Reading, PA 19611-1443 2017-11-16
1548659857 Weeda Nejrabi Physician Assistant 601 Spruce St, West Reading, PA 19611-1443 2015-01-10
1174809180 Lisa M Lewandowski Nurse Practitioner 601 Spruce St, West Reading, PA 19611-1443 2011-10-24
1619272663 Tower Health Medical Group Neurological Surgery 601 Spruce St, West Reading, PA 19611-1443 2011-01-24
1144489642 John Anthony Braca IIi Neurological Surgery 601 Spruce St, West Reading, PA 19611-1443 2008-06-09
1487848438 Karen A Kimball Registered Nurse 601 Spruce St, West Reading, PA 19611-1443 2007-09-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033645247 Donna Connor Nurse Practitioner S. 6th Ave, Reading, PA 19611 2017-05-08
1215397286 Brian Punnoose Pharmacist 301 S. 6th Avenue, West Reading, PA 19611 2016-03-03
1700273323 Sheila Kalathil Internal Medicine 420 S 5th Avenue, West Reading, PA 19611 2015-04-21
1497174502 Marianne Sharon Counselor 20-22 North 6th Ave., West Reading, PA 19611 2014-04-16
1699191718 Meghan Ward Nurse Practitioner Bldg N Ground- 6th Avenue & Spruce Street, West Reading, PA 19611 2014-03-13
1821413378 Elizabeth Rider-williams Counselor 6th Avenue & Spruce Street - K Bldg, West Reading, PA 19611 2014-02-20
1295050193 John Oliver Mclain Jr. Psychiatry & Neurology S. 6th Ave and Spruce Street, West Reading, PA 19611 2010-04-02
1215252515 Sara L Lee Physician Assistant S Sixth Ave and Spruce St, Thrmc Regional Cancer Center, West Reading, PA 19611 2010-03-30
1508012683 Kathryn Mraz Marr Physical Therapist 629 Court St, West Reading, PA 19611 2008-08-08
1316116809 Genesis House Reading Clinic/Center 697 Reading Avenue, West Reading, PA 19611 2008-02-28
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376190777 Sara Elizabeth Mckenrick Physician Assistant 601 Spruce St, West Reading, PA 19611-1443 2019-08-20
1114476504 Janine Louise Gurtowski Physician Assistant 301 S 7th Ave, Suite 365, West Reading, PA 19611-1410 2016-09-26
1417351875 Emily M Starczewski Physician Assistant 301 S 7th Ave, Suite 3220, West Reading, PA 19611-1410 2014-10-14
1659709509 Thomas A Morton Physician Assistant 301 S 7th Ave, Suite 3220, West Reading, PA 19611-1410 2013-10-30
1285987610 Amanda Kate Orth Physician Assistant 301 S 7th Ave, Suite 3220, West Reading, PA 19611-1410 2012-10-23
1346556750 Julie A Hicks Physician Assistant 301 S 7th Ave, Suite 3220, West Reading, PA 19611-1410 2010-08-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205450087 Mary Baich Physician Assistant 1050 Bower Hill Rd Ste 208, Pittsburgh, PA 15243-1868 2020-06-08
1972145134 Emilie A Simone Physician Assistant 1050 Bower Hill Rd Ste 309, Pittsburgh, PA 15243-1870 2019-10-09
1518524339 Nicholas Vernoy Smith Physician Assistant 510 South Aiken Avenue, Suite Eg-01 East Wing Shadyside Hospital, Pittsburgh, PA 15232-1505 2019-05-28
1689131757 Amanda Furst Physician Assistant 9100 Babcock Blvd Ste 4828, Pittsburgh, PA 15237-5815 2019-02-26
1659845295 Alexis Kimes Physician Assistant 200 Lothrop St Fl 4, Pittsburgh, PA 15213-2536 2019-01-16
1427530831 Jordan L Ball Physician Assistant 30 Hope Dr # 1200, Hershey, PA 17033-2036 2018-08-31
1740707298 Robyn Mcnamee Physician Assistant 142 Clearview Cir Ste 110, Butler, PA 16001-1565 2017-08-25
1831648336 Hollie Anne Ramaley Physician Assistant 624 E End Ave, Pittsburgh, PA 15221-3424 2016-09-25
1083169890 Ellen Cannon Physician Assistant 1023 Marlin Dr, West Chester, PA 19382-2360 2016-08-22
1295182491 Emily Tercek Physician Assistant 620 Howard Ave Fl 7, Altoona, PA 16601-4804 2016-05-17
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Competitor

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City WEST READING
Zip Code 19611

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Dataset Information

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.

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