DR. VIVIAN MOULTRIE MD
NPI 1114865326
Student in an Organized Health Care Education/Training Program in Webster, TX

Active since March 23, 2026PECOS Enrolled
500 W MEDICAL CENTER BLVD, WEBSTER, TX 77598(512) 423-2815 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Vivian Moultrie Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VIVIAN MOULTRIE MD (NPI 1114865326) is an individual student in an organized health care education/training program in Webster, Texas and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114865326
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. VIVIAN MOULTRIECredential: MD
Location Address500 W MEDICAL CENTER BLVDWebster, TX 77598-4220
Mailing AddressPo Box 414Eden, GA 31307-0414
Sole ProprietorNo
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 22, 2026
NPI 1114865326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
500 W MEDICAL CENTER BLVD, Webster, TX 77598

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Vivian Moultrie Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
500 W MEDICAL CENTER BLVD
WEBSTER, TX 77598
Nurse Practitioner (Acute Care)
500 W MEDICAL CENTER BLVD
WEBSTER, TX 77598
Nurse Practitioner (Gerontology)
500 W MEDICAL CENTER BLVD
WEBSTER, TX 77598
Nurse Practitioner
500 W MEDICAL CENTER BLVD
WEBSTER, TX 77598
Occupational Therapist (Pediatrics)
500 W MEDICAL CENTER BLVD
WEBSTER, TX 77598
Student in an Organized Health Care Education/Training Program
500 W MEDICAL CENTER BLVD
WEBSTER, TX 77598
Obstetrics & Gynecology
500 W MEDICAL CENTER BLVD
WEBSTER, TX 77598
Nurse Practitioner
500 W MEDICAL CENTER BLVD
WEBSTER, TX 77598

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivian Moultrie's NPI number?

The NPI number for Vivian Moultrie is 1114865326. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Vivian Moultrie located?

Vivian Moultrie practices at 500 W Medical Center Blvd, Webster, TX 77598. The listed phone number is (512) 423-2815.

What is Vivian Moultrie's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Vivian Moultrie enrolled in Medicare?

Yes. Vivian Moultrie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vivian Moultrie was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.