MS. SANDRA A MOSS


Address: 1015 Chestnut St Ste 1321, Philadelphia, PA 19107-4313
Phone: 2159558435

MS. SANDRA A MOSS (NPI# 1700315728) 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) 1700315728
Entity Type Individual
Full Name MS. SANDRA A MOSS
Credential CRNP
Practice Address 1015 Chestnut St Ste 1321
Philadelphia
PA 19107-4313
Practice Telephone 2159558435
Practice Fax Number 2159552342
Mailing Telephone 2159559854
Mailing Fax Number 2159552342
Enumeration Date 2017-06-05
Last Update Date 2017-06-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
SP007945 PA Physician Assistants & Advanced Practice Nursing Providers
N 363LP0200X Nurse Practitioner
Specialization: Pediatrics
VP005103D PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 23209585 05
PA HEMATOLOGY 232809585 01

Other Providers SANDRA MOSS

NPI Name Taxonomy Address Enumeration
1376791566 Sandra W. Moss Internal Medicine 33 Eggert Ave, Metuchen, NJ 08840-2505 2008-08-31
1114061702 Sandra Joan Moss Social Worker 44 Cottonwood Lane, Clayton, GA 30525 2007-02-16
1720166523 Sandra Dotson Moss Pediatrics 290 Old Jackson Hwy 31e, Glasgow, KY 42141 2006-11-01
1720568876 Sandra Deloris Moss Counselor 156 Highway 51 N, Batesville, MS 38606-2348 2018-08-17
1780849323 Sandra L Moss Occupational Therapist 1034 N 500 W, Provo, UT 84604-3380 2008-07-23

Office Location

Street Address 1015 CHESTNUT ST STE 1321
City PHILADELPHIA
State PA
Zip Code 19107-4313

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528292711 Holleh Daria Husseinzadeh Internal Medicine 1015 Chestnut St Ste 1321, Philadelphia, PA 19107-4313 2009-05-04
1598292229 Thomas Jefferson University Hospital Nurse Practitioner 1015 Chestnut St Ste 1321, Philadelphia, PA 19107-4313 2017-05-12
1538587308 Ashley M. Smink Nurse Practitioner 1015 Chestnut St Ste 1321, Philadelphia, PA 19107 2014-03-31
1093072944 Ruben Winkler Rhoades Internal Medicine 1015 Chestnut St Ste 1321, Philadelphia, PA 19107-4313 2012-04-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841834710 Joseph Mascaro Nurse Practitioner 125 S 9th St Ste 1005, Philadelphia, PA 19107-5123 2019-11-04
1780185835 Neva White Nurse Practitioner 211 S 9th St Ste 300, Philadelphia, PA 19107-6810 2018-02-23
1790298487 Anne Kathryn Henner Nurse Practitioner 925 Chestnut St Ste 420a, Philadelphia, PA 19107-4247 2017-11-16
1174052997 Cynthia Wheeler Nurse Practitioner 925 Chestnut St # 421d, Philadelphia, PA 19107-4216 2017-06-06
1740716893 Liliya Gurevich Nurse Practitioner 7906 Frontenac St, Philadelphia, PA 19111-2902 2017-05-11
1235589664 Juliana Omile Nurse Practitioner 7521 Woodcrest Ave, Philadelphia, PA 19151-2702 2016-06-16
1275980468 Joji Thomas Nurse Practitioner 9659 Sandanne Rd, Philadelphia, PA 19115-2727 2016-05-18
1073988374 Cristhi Wilson-brown Nurse Practitioner 521 W Girard Ave, Philadelphia, PA 19123-1428 2015-12-11
1932579984 Tierney A Fisher Nurse Practitioner 3737 Market St Fl 10, Philadelphia, PA 19104-5545 2015-10-03
1306223813 Anthony Yaroslav Fisun Nurse Practitioner 2008 President St, Philadelphia, PA 19115-2607 2015-05-04
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19107

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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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