Nathaniel Gadney Moss
Student in an Organized Health Care Education/Training Program in Houston, TX. Individual provider (NPI-1).
NPI number1609679463
StatusActive
Last updated in NPPESMar 28, 2025
Details
- NPI
- 1609679463
- Entity type
- Individual (NPI-1)
- Name
- Nathaniel Gadney Moss
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2025
- Certification date
- Mar 28, 2025
- Last updated
- Mar 28, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - PSYCHIATRY
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1204 Autrey St Apt 2cHouston, TX 77006-6041
Phone 915-497-7410
Mailing address
1204 Autrey St Apt 2cHouston, TX 77006-6041
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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