Joann Carmesha Moss

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Practice address

9313 Montrose St
Detroit, MI 48228-2126

Phone

(313) 293-0423

NPI assigned

Jul 6, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1376221689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 ROBSON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482282457",
            "telephone_number": "313-690-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 MONTROSE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482282126",
            "telephone_number": "313-293-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "JOANN",
        "middle_name": "CARMESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taneika L Mosley
• Derrick Joseph Moss
• Doris Jean Moss, FAODP
• Henry E Moss, DO
• Ivye L Moss, MLPN
• Kenneth L. Moss, M.D.
• Stacee Jevana Moss, LPN
• Taleshia Moss
• Taylor Moss
• Feras Mossa-Basha

• Preferred Provider Organization in Detroit, MI
• Providers in Detroit, MI by specialty
• Preferred Provider Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.