Active NPI
Starlita Moss, PA-C
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1497146294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1719
- Practice address
- 3281 N Decatur Blvd Ste 150
Las Vegas, NV 89130-3264 - Phone
- (702) 463-1088
- Fax
- (702) 463-0057
- NPI assigned
- Feb 15, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1719 | NV | Primary |
| Physician Assistant | 363A00000X | PA17019 | NV | |
| Physician Assistant | 363A00000X | 085005339 | IL |
Addresses
Primary practice location
3281 N Decatur Blvd Ste 150
Las Vegas, NV 89130-3264
Mailing address
3281 N Decatur Blvd Ste 150
Las Vegas, NV 89130-3264
Phone (702) 800-8988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA17019 | NV | MD | Physician Assistant |
| PA1719 | NV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Level Psychiatry Arizona PLLC | Current | Accepting new patients | |
| Behavioral Health Solutions LLC | Current | Accepting new patients | |
| Ageless Men'S Health NV, LLC | Past | Accepting new patients | |
| Banner Pharmacy Services LLC | Past | Accepting new patients | |
| Physicians at Work Inc | Past | Accepting new patients | |
| Housecall Professionals Inc | Past | Accepting new patients | |
| Comprehensive Urgent Care | Past | Accepting new patients | |
| Health Diagnostics of California LLC | Past | Accepting new patients |
Locations
2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061
Interoperability endpoints
- starlita.moss.1@24259.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Community/Behavioral Health Agency
- Henderson, NV
- NPI 1548765258
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1861278947
-
- Psychiatry Physician
- Tucson, AZ
- NPI 1932703626
-
- Urology Physician
- Las Vegas, NV
- NPI 1023330230
-
- Urgent Care Clinic/Center
- Las Vegas, NV
- NPI 1578478673
-
- Community/Retail Pharmacy
- Tucson, AZ
- NPI 1154384899
-
- Diagnostic Radiology Physician
- Los Gatos, CA
- NPI 1982966172
-
- Multi-Specialty Clinic/Center
- Skokie, IL
- NPI 1487175378
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1528483922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1497146294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3281 N DECATUR BLVD STE 150",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891303264",
"telephone_number": "702-800-8988",
"fax_number": "702-800-8998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3281 N DECATUR BLVD STE 150",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891303264",
"telephone_number": "702-463-1088",
"fax_number": "702-463-0057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "STARLITA",
"name_prefix": "Dr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-15",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1719",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA17019",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085005339",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.