DAVIA GAELIN MOSS NP NPI 1013469873

NPI Information

  • NPI: 1013469873
  • Provider Name: DAVIA GAELIN MOSS, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 725 E ADAMS ST FL 4
    SYRACUSE, NY
    ZIP 13210
  • Phone: (315) 464-5831

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NPI Details

Davia Gaelin Moss, NP is a family nurse practitioner in Syracuse, NY. Davia Gaelin Moss, NP NPI is 1013469873. 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:

725 E ADAMS ST FL 4
SYRACUSE, NY
ZIP 13210-576
Phone: (315) 464-5831
Fax: (314) 464-2030

The NPI 1013469873 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 10/27/2016 and was last updated on 10/13/2025.

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
1163W00000XRegistered Nurse645775NEW YORKNo
2363LF0000XNurse PractitionerFamilyF340815NEW YORKYes

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
104635810MEDICAIDNEW YORK

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: 11/21/2025

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