Kathleen Dawella Mosley, SPECIMEN COLLECTOR

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

R7H4P2Q8 Issued in OH

Practice address

4479 Broadview Rd
Cleveland, OH 44109-4302

Phone

(216) 916-9282

Fax

(216) 823-0518

NPI assigned

Sep 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Expressive Healthcare Academy LLC

  • Phlebotomy Technician
  • Cleveland, OH
  • NPI 1649728619
  NPD (past) Authorized official

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1356899405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4479 BROADVIEW RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441094302",
            "telephone_number": "216-916-9282",
            "fax_number": "216-823-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4479 BROADVIEW RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441094302",
            "telephone_number": "216-916-9282",
            "fax_number": "216-823-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "KATHLEEN",
        "middle_name": "DAWELLA",
        "name_prefix": "Ms.",
        "credential": "SPECIMEN COLLECTOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "OH",
            "license": "R7H4P2Q8",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356899405",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicolette Concetta Mosinski, PA-C, MPAS
• Alexandra R Mosko
• Carolyn N Mosko, LISW-S
• Tori Moskovciak Welsh, PSY.D.
• Dante Mosley II
• Oni Oluabunmi Lewis Mosley
• Vanessa Mosley, CMA
• Victoria Mosley
• April Leticia Moss, R.D., L.D,
• Arielle Moss

• Phlebotomy Technician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Phlebotomy Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.