BRIDGET A MOSS (NPI# 1831319334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831319334 |
Entity Type | Individual |
Full Name | BRIDGET A MOSS |
Credential | ETC |
Practice Address |
400 E Sycamore St Hollis OK 73550-1436 |
Mailing Address |
708 N Hill St Hobart OK 73651-1641 |
Practice Telephone | 5806882800 |
Practice Fax Number | 5806882193 |
Mailing Telephone | 5807262325 |
Enumeration Date | 2007-04-26 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
78364 | OK | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200121510C | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
708 N Hill St, Hobart, OK 736511641 | 5807262325 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578823480 | Bridget Holyfield Moss | Counselor | 544 Mulberry St Ste 107, Macon, GA 31201-8249 | 2012-05-24 |
1205144805 | Bridget L Moss | Nurse Practitioner | 1221 Lee St, Charlottesville, VA 22908-0001 | 2010-09-16 |
Street Address |
400 E SYCAMORE ST |
City | HOLLIS |
State | OK |
Zip Code | 73550-1436 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619081189 | William Paul Estes | Dentist | 400 E Sycamore St, Hollis, OK 73550-1436 | 2006-08-19 |
1134744469 | Justin Cade Cole | Pharmacist | 400 E Sycamore St, Hollis, OK 73550-1436 | 2020-06-12 |
1114391315 | Kimberly Yvette Hestand | Nurse Practitioner | 400 E Sycamore St, Hollis, OK 73550 | 2015-11-25 |
1710316476 | Leeann Boyles Stanford | Nurse Practitioner | 400 E Sycamore St, Hollis, OK 73550-1436 | 2013-11-04 |
1639415581 | Lacy Elizabeth Moon | Counselor | 400 E Sycamore St, Hollis, OK 73550-1436 | 2012-12-21 |
1255695201 | Shortgrass Community Health Center, Inc | Clinic/Center | 400 E Sycamore St, Hollis, OK 73550-1436 | 2012-06-25 |
1366654147 | Harmon County Healthcare Authority | Nursing Facility/Intermediate Care Facility | 400 E Sycamore St, Hollis, OK 73550-1436 | 2007-05-04 |
1104961325 | Vickie June Godwin | Marriage & Family Therapist | 400 E Sycamore St, Hollis, OK 73550-1436 | 2007-02-21 |
1033252804 | William J Kok | Family Medicine | 400 E Sycamore St, Hollis, OK 73550-1436 | 2007-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689121147 | Amy Michelle Ashcraft | Nurse Practitioner | 920 N 8th, Hollis, OK 73550 | 2016-09-01 |
1366611824 | Blackhawk Mangum, LLC | Clinic/Center | 513 East Chestnut, Hollis, OK 73550 | 2008-02-28 |
1609857754 | Akram R. Abraham | Family Medicine | 920 N 8th St, Hollis, OK 73550-2026 | 2005-11-07 |
1922629138 | Stormy Dawn Smith | Nurse Practitioner | 920 N 8th St, Hollis, OK 73550-2026 | 2020-04-28 |
1376953943 | Sharon Ann Bowen | Clinical Nurse Specialist | 920 N 8th St, Hollis, OK 73550-2026 | 2014-05-05 |
1811327836 | Beverly Cooper | Nurse Practitioner | 920 N 8th St, Hollis, OK 73550-2026 | 2013-11-13 |
1225210248 | Akram R. Abraham, M.d.pc | Family Medicine | 920 N 8th St, Hollis, OK 73550-2026 | 2007-11-30 |
1043213010 | Southwest Oklahoma Ambulance Authority | Ambulance | 400 E Chestnut St, Hollis, OK 73550-2030 | 2005-05-24 |
1700138336 | Harmon County Healthcare Authority | Clinic/Center | 400 E Chestnut St, Hollis, OK 73550-2030 | 2012-10-05 |
1003094129 | Jackson County Memorial Hospital Authority | General Acute Care Hospital | 400 E Chestnut St, Hollis, OK 73550-2030 | 2008-01-31 |
Find all providers in zip 73550 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689121147 | Amy Michelle Ashcraft | Nurse Practitioner | 920 N 8th, Hollis, OK 73550 | 2016-09-01 |
1104114644 | Cynthia J Arcieri | Nurse Practitioner | 9 Forest View Dr, Hollis, NH 03049 | 2011-07-19 |
1124158738 | Viola Christine White | Nurse Practitioner | 204-19 Hillside Ave, Hollis, NY 11423 | 2007-03-06 |
1922629138 | Stormy Dawn Smith | Nurse Practitioner | 920 N 8th St, Hollis, OK 73550-2026 | 2020-04-28 |
1407217201 | Mary Best | Nurse Practitioner | 19002 Jamaica Ave, Hollis, NY 11423-2516 | 2016-03-08 |
1750764007 | Alexander Gumbs | Nurse Practitioner | 20507 Hillside Ave, Suite 28, Hollis, NY 11423-2222 | 2015-07-06 |
1811327836 | Beverly Cooper | Nurse Practitioner | 920 N 8th St, Hollis, OK 73550-2026 | 2013-11-13 |
1710316476 | Leeann Boyles Stanford | Nurse Practitioner | 400 E Sycamore St, Hollis, OK 73550-1436 | 2013-11-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992306708 | Paula Sue Brown | Nurse Practitioner | 1020 N Lawson Blvd, Clayton, OK 74536-0219 | 2020-11-06 |
1235730581 | Cynthia Nanett Smith | Nurse Practitioner | 3009 24th Ave Se, Norman, OK 73071-1731 | 2020-11-03 |
1942801246 | Preston Craig | Nurse Practitioner | 1114 Mockingbird Ln, Norman, OK 73071-4838 | 2020-11-03 |
1528668530 | William Zachary Mccormick | Nurse Practitioner | 9900 Ashley Pl, The Village, OK 73120-3608 | 2020-10-28 |
1457951519 | Crystal Marie Mapes | Nurse Practitioner | 1920 E 2nd St Apt 4015, Edmond, OK 73034-6385 | 2020-10-28 |
1164021655 | Alana Christine Mckinney | Nurse Practitioner | 19400 Sw 44th St, El Reno, OK 73036-8191 | 2020-10-26 |
1063011831 | Venvisor Health Oklahoma LLC | Nurse Practitioner | 1831 E 71st St # 4213, Tulsa, OK 74136-3922 | 2020-10-22 |
1164021150 | Timber Laine Jackson | Nurse Practitioner | 1391 County Road 1215, Tuttle, OK 73089-3047 | 2020-10-20 |
1225637465 | Dakota Bell Morton | Nurse Practitioner | 208 W 35th St, Sand Springs, OK 74063-2832 | 2020-10-19 |
1942808746 | Shari E Stapleton | Nurse Practitioner | 324 Ceder Ln, Tuttle, OK 73089-8675 | 2020-10-14 |
Find all providers with the same taxonomy |
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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.