Jacqueline Denise Moss

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

2100 N Eastern Ave Ste 8Ee
Moore, OK 73160-5683

Phone

(802) 393-8007

NPI assigned

Apr 29, 2024

Last updated

Apr 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1407602642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N EASTERN AVE STE 8",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605684",
            "telephone_number": "802-393-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N EASTERN AVE STE 8EE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605683",
            "telephone_number": "802-393-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "JACQUELINE",
        "middle_name": "DENISE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seraphim Mork, PHD
• Clayton D Morris, M.D.
• Scott E Morris, DPM
• Sharra Jan Morris, LPC
• Shawn Jean Morris, NP
• Eno Mowarin, MS, LPC
• MTP Chiropractic LLC (Generations Chiropractic)
• Lindsey Claire Muecke, LPC-CANDIDATE
• Elizabeth Mugisha, LPC CANDIDATE
• Joshua James Mundell, DMD

• Prosthetist in Moore, OK
• Providers in Moore, OK by specialty
• Prosthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.