Active NPI
Lanika Shantel Mosley
- Occupational Therapy Assistant
- Flint, MI
National Provider Identifier
1194998880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1669
- Practice address
- 1410 Avon Park Dr Apt 7
Flint, MI 48503-7203 - Phone
- (810) 210-2758
- NPI assigned
- Apr 2, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2007012791 | MO | |
| Occupational Therapy Assistant | 224Z00000X | 1669 | CA | Primary |
Addresses
Primary practice location
1410 Avon Park Dr Apt 7
Flint, MI 48503-7203
Mailing address
1410 Avon Park Dr Apt 4
Flint, MI 48503-7203
Phone (810) 210-2758
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 |
|---|---|---|---|
| 1669 | CA | MD | Midwife |
| 2007012791 | MO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283040000000",
"number": "1194998880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 AVON PARK DR APT 4",
"city": "FLINT",
"state": "MI",
"postal_code": "485037203",
"telephone_number": "810-210-2758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 AVON PARK DR APT 7",
"city": "FLINT",
"state": "MI",
"postal_code": "485037203",
"telephone_number": "810-210-2758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSLEY",
"first_name": "LANIKA",
"middle_name": "SHANTEL",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-02",
"last_updated": "2010-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MO",
"license": "2007012791",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "1669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.