ADRIANE AMANA ALCALA MOSS PMHNP NPI 1497770648

NPI Information

NPI: 1497770648
Provider Name: ADRIANE AMANA ALCALA MOSS, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
4585 SW 185TH AVE
ALOHA, OR
ZIP 97007
Phone: (503) 591-9280
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Adriane Amana Alcala Moss, PMHNP is a psychiatric/mental health nurse practitioner in Aloha, OR. Adriane Amana Alcala Moss, PMHNP NPI is 1497770648. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4585 SW 185TH AVE
ALOHA, OR
ZIP 97007
Phone: (503) 591-9280

The NPI 1497770648 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 7/26/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	200450121NP PMHNP-PP	OREGON	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	CNP-03213	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CNP-03213	OTHER	NEW MEXICO	NM LICENSE
2	277800	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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