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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
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 |
Street Address |
601 SPRUCE ST |
City | WEST READING |
State | PA |
Zip Code | 19611-1443 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 19611 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | WEST READING |
Zip Code | 19611 |
Please comment or provide details below to improve the information on KELLY NICOLE MOSS.
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.