Active NPI
Carllishia M Mosley
- Adult Companion
- Shreveport, LA
National Provider Identifier
1740994250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 351 Southfield Rd
Shreveport, LA 71105-4140 - Phone
- (318) 230-5168
- NPI assigned
- Jan 9, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
351 Southfield Rd
Shreveport, LA 71105-4140
Mailing address
351 Southfield Rd
Shreveport, LA 71105-4140
Phone (318) 230-5168
Other practice location 1
351 Southfield Rd
Shreveport, LA 71105-4140
Phone (318) 230-5168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 884058080 | Other | LA | NON MEDICAE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1740994250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 SOUTHFIELD RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711054140",
"telephone_number": "318-230-5168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 SOUTHFIELD RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711054140",
"telephone_number": "318-230-5168"
}
],
"practiceLocations": [
{
"address_1": "351 Southfield Rd",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711054140",
"country_code": "US",
"telephone_number": "318-230-5168",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSLEY",
"first_name": "CARLLISHIA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-09",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NON MEDICAE",
"identifier": "884058080",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.