Active NPI
Noelle Lauren Mossman, DC
- Chiropractor
- Tulsa, OK
National Provider Identifier
1023771441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4411
- Practice address
- 5510 E 41St St Ste B
Tulsa, OK 74135-6037 - Phone
- (918) 576-7242
- NPI assigned
- Oct 21, 2021
- Last updated
- Oct 21, 2021
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4411 | OK | Primary |
Addresses
Primary practice location
5510 E 41St St Ste B
Tulsa, OK 74135-6037
Mailing address
9319 E 92ND PL
Tulsa, OK 74133-5675
Phone (918) 852-4833
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4411 | OK | MD | Speech/Language/Hearing Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1023771441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9319 E 92ND PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741335675",
"telephone_number": "918-852-4833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 E 41ST ST STE B",
"city": "TULSA",
"state": "OK",
"postal_code": "741356037",
"telephone_number": "918-576-7242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSSMAN",
"first_name": "NOELLE",
"middle_name": "LAUREN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-21",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "4411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.