CIVANNI MOSS
NPI 1902592876
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Civanni Moss's NPI number?

The NPI number for Civanni Moss is 1902592876. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Q: What is Civanni Moss's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Civanni Moss was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since April 13, 2023PECOS Enrolled

3401 N BROAD ST, PHILADELPHIA, PA 19140(800) 836-7536 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Civanni Moss NPPES

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

CIVANNI MOSS (NPI 1902592876) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902592876

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCIVANNI MOSS

Location Address3401 N BROAD STPhiladelphia, PA 19140-5103

Mailing Address2411 Kensington Ave Apt 303Philadelphia, PA 19125-1258 · (703) 577-6400

Phone(800) 836-7536

Sole ProprietorNo

Enumeration DateApril 13, 2023

NPPES CertifiedApril 13, 2023

✔ NPI 1902592876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

3401 N BROAD ST, Philadelphia, PA 19140

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Civanni Moss 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.

DR. JAMIE L. GARFIELD MD

Internal Medicine