Mytoia Moss-Lewis, PROGRAM DIRECTOR

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

13206 Indigo Creek LN
Pearland, TX 77584-2548

Phone

(713) 436-7612

Fax

(713) 436-7610

NPI assigned

Oct 6, 2006

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

Practice roles

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.

• Emerald Blue Health Care Services,Inc.

  • Durable Medical Equipment & Medical Supplies
  • Pearland, TX
  • NPI 1457482226
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710074299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13206 INDIGO CREEK LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842548",
            "telephone_number": "713-436-7612",
            "fax_number": "713-436-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13206 INDIGO CREEK LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842548",
            "telephone_number": "713-436-7612",
            "fax_number": "713-436-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS-LEWIS",
        "first_name": "MYTOIA",
        "name_prefix": "Mrs.",
        "credential": "PROGRAM DIRECTOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Morrow, SLP
• Sandra Morrow, LPC
• Jamie Leann Morse
• Kyle Dean Moses, DDS
• Eastlyn Mosley, OTD
• Mark H Moss, D.P.M.
• Karla Mosso
• Most Valuable Pickup
• Kristina M Motiejunas, BCBA
• Afaq Motiwala

• Contractor in Pearland, TX
• Providers in Pearland, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.