Individual provider Active NPI

Jade Moseti, COTA

  • Specialist
  • La Crosse, WI
National Provider Identifier
1457666174
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4719-027 Issued in WI
Practice address
2600 Ward Ave
La Crosse, WI 54601-7424
Phone
(608) 787-8200
NPI assigned
Aug 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4719-027 WI Primary

Addresses

Primary practice location

2600 Ward Ave
La Crosse, WI 54601-7424

Mailing address

1328 George St
La Crosse, WI 54603-2457
Phone (608) 782-1220

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

LicenseStateTypeSpecialty
4719-027WIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Salucare Rehabilitative Agency S C PastSince Jun 29, 2016 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1457666174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 GEORGE ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546032457",
            "telephone_number": "608-782-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 WARD AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546017424",
            "telephone_number": "608-787-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSETI",
        "first_name": "JADE",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "4719-027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.