Ivye L Moss, MLPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703063073 Issued in MI

Practice address

City of Detroit Health Department 1151 Taylor
Room 332
Detroit, MI 48202-1732

Phone

(313) 852-4291

Fax

(313) 368-4694

NPI assigned

Jul 11, 2008

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

State licenses

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1689838468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTHEAST HEALTH CENTER 5400 EAST 7 MILE",
            "address_2": "ROOM 25",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48234",
            "telephone_number": "313-852-4291",
            "fax_number": "313-368-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CITY OF DETROIT HEALTH DEPARTMENT 1151 TAYLOR",
            "address_2": "ROOM 332",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021732",
            "telephone_number": "313-852-4291",
            "fax_number": "313-368-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "IVYE",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "MLPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703063073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Mosley
• Taneika L Mosley
• Derrick Joseph Moss
• Doris Jean Moss, FAODP
• Henry E Moss, DO
• Joann Carmesha Moss
• Kenneth L. Moss, M.D.
• Stacee Jevana Moss, LPN
• Taleshia Moss
• Taylor Moss

• Licensed Practical Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.