Active NPI
Serena Mosley
- Behavior Technician
- Orange Park, FL
National Provider Identifier
1013663491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4190 Plantation Oaks Blvd Unit 1532
Orange Park, FL 32065-3541 - Phone
- (904) 412-8542
- NPI assigned
- Feb 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
4190 Plantation Oaks Blvd Unit 1532
Orange Park, FL 32065-3541
Mailing address
4190 Plantation Oaks Blvd Unit 1532
Orange Park, FL 32065-3541
Phone (904) 412-8542
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | serenam@limitlessfl.onmicrosoft.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1013663491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4190 PLANTATION OAKS BLVD UNIT 1532",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320653541",
"telephone_number": "904-412-8542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4190 PLANTATION OAKS BLVD UNIT 1532",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320653541",
"telephone_number": "904-412-8542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSLEY",
"first_name": "SERENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-24",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "serenam@limitlessfl.onmicrosoft.com",
"affiliation": "N",
"endpointDescription": "secure email",
"address_1": "4190 Plantation Oaks Blvd Unit 1532",
"city": "Orange Park",
"state": "FL",
"country_code": "US",
"postal_code": "320653541",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.