Individual provider Active NPI

Joan Carol Mozer, RN IBLLC

  • Lactation Consultant (Registered Nurse)
  • Norfolk, NE
National Provider Identifier
1295914232
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
10218515 Issued in VA
Practice address
2700 West Norfolk Ave
Norfolk, NE 68701
Phone
(402) 644-7520
Fax
(402) 644-7650
NPI assigned
Oct 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 36643 NE
Lactation Consultant (Registered Nurse) 163WL0100X 10218515 VA Primary

Addresses

Primary practice location

2700 West Norfolk Ave
Norfolk, NE 68701

Mailing address

2700 West Norfolk Ave
Norfolk, NE 68701
Phone (402) 371-4880

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
36643NEMDRegistered Nurse
10218515VAMDLactation Consultant (Registered Nurse)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1295914232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WEST NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "68701",
            "telephone_number": "402-371-4880",
            "fax_number": "402-644-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WEST NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "68701",
            "telephone_number": "402-644-7520",
            "fax_number": "402-644-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZER",
        "first_name": "JOAN",
        "middle_name": "CAROL",
        "credential": "RN IBLLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "36643",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VA",
            "license": "10218515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.