Active NPI
Sherry M Mosley
- Driver
- Siloam Springs, AR
National Provider Identifier
1740059294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- L167201009
- Practice address
- 17094 Martin Pedro Rd
Siloam Springs, AR 72761-8532 - Phone
- (417) 824-0162
- NPI assigned
- Dec 26, 2023
- Last updated
- Dec 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | L167201009 | MO | Primary |
Addresses
Primary practice location
17094 Martin Pedro Rd
Siloam Springs, AR 72761-8532
Mailing address
400 South Ave Ste 240
Springfield, MO 65806-2183
Phone (417) 824-0162
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A | Other |
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
| License | State | Type | Specialty |
|---|---|---|---|
| L167201009 | MO | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1740059294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 SOUTH AVE STE 240",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658062183",
"telephone_number": "417-824-0162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17094 MARTIN PEDRO RD",
"city": "SILOAM SPRINGS",
"state": "AR",
"postal_code": "727618532",
"telephone_number": "417-824-0162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSLEY",
"first_name": "SHERRY",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-26",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "MO",
"license": "L167201009",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"endpointDescription": "N/A",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "N/A",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/A",
"address_1": "17094 Martin Pedro Rd",
"city": "Siloam Springs",
"state": "AR",
"country_code": "US",
"postal_code": "727618532",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Siloam Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.