DEREK MOOS AGPCNP-BC
NPI 1104658749
Nurse Practitioner - Primary Care in Syracuse, UT
NPI Status: Active since August 14, 2024
Contact Information
2977 WEST
2600 SOUTH
SYRACUSE, UT
ZIP 84075
Phone: (801) 682-6170
- Individual
- Male
- Nurse Practitioner
- Primary Care
About DEREK MOOS
This page provides the complete NPI Profile along with additional information for Derek Moos, a provider established in Syracuse, Utah with a medical specialization in Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1104658749 assigned on August 2024. The practitioner's primary taxonomy code is 363LP2300X with license number 6586693-4405 (UT). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1104658749
- Provider Name
- DEREK MOOS AGPCNP-BC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2977 WEST 2600 SOUTH SYRACUSE, UT 84075
- Location Phone
- (801) 682-6170
- Mailing Address
- 2977 WEST 2600 SOUTH SYRACUSE, UT 84075
- Mailing Phone
- (801) 682-6170
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-14-2024
- Last Update Date
- 08-14-2024
- Code Navigator
A nurse practitioner (NP) like Derek Moos is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Primary Care
- Taxonomy Code
- 363LP2300X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 6586693-4405
- License State
- UT
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104658749, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104658749, enumerated as an "individual" on August 14, 2024.
The provider is located at 2977 WEST 2600 SOUTH SYRACUSE, UT 84075 and the phone number is (801) 682-6170.
Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.
