JAMES JEREMIAH MOOTY FNP NPI 1467952606

NPI Information

  • NPI: 1467952606
  • Provider Name: JAMES JEREMIAH MOOTY, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1008 N MAIN ST
    SIKESTON, MO
    ZIP 63801
  • Phone: (573) 472-6001

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NPI Details

James Jeremiah Mooty, FNP is a family nurse practitioner in Sikeston, MO with 8 years of experience. James Jeremiah Mooty, FNP NPI is 1467952606. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1008 N MAIN ST
SIKESTON, MO
ZIP 63801-044
Phone: (573) 472-6001
Fax: (573) 472-6006

The NPI 1467952606 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 2/14/2018 and was last updated on 2/14/2018.

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
1363LF0000XNurse PractitionerFamily2018003400MISSOURIYes

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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