Individual provider Active NPI

Carla Larue Mosby, APRN, FNP

  • Nurse Practitioner
  • Southlake, TX
National Provider Identifier
1750980363
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1011154 Issued in TX
Practice address
505 S Nolen Dr Ste a
Southlake, TX 76092-9167
Phone
(469) 851-1250
Fax
(817) 424-3491
NPI assigned
Oct 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1011154 TX
Nurse Practitioner 363L00000X 1011154 TX Primary

Addresses

Primary practice location

505 S Nolen Dr Ste a
Southlake, TX 76092-9167

Mailing address

10150 Bowling Green Dr
Frisco, TX 75035-6984
Phone (214) 551-5154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210119002777 TX Practitioner - Nurse Practitioner 8820400732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Infusions, LLC Nurse Practitioner CurrentSince Sep 20, 2023 Accepting new patients
Texas Digestive Disease Consultants PLLC CurrentSince Apr 15, 2023 Accepting new patients
Texas Digestive Disease Consultants, PLLC Current Accepting new patients
Innovative Infusions, LLC Nurse Practitioner CurrentSince Sep 20, 2023 Accepting new patients
Texas Digestive Disease Consultants, PLLC CurrentSince Apr 15, 2023 Accepting new patients

Locations

200 N Mesquite St
Ste 115
Arlington, TX 76011
Phone (817) 200-2530

720 W 34th St
Ste 104
Austin, TX 78705
Phone (512) 261-4800

4710 Bellaire Blvd
Ste 340
Bellaire, TX 77401
Phone (713) 860-1755

11317 N Central Expy
Ste 100
Dallas, TX 75243
Phone (972) 408-2777

601 S Main St
Keller, TX 76248
Phone (817) 741-4347

1600 Coit Rd
Ste 401
Plano, TX 75075
Phone (972) 612-9771

4709 W Parker Rd
Ste 500
Plano, TX 75093
Phone (469) 974-0565

1922 Dry Creek Way
Ste 134
San Antonio, TX 78259
Phone (210) 485-3700

505 S Nolen Dr
Ste A
Southlake, TX 76092
Phone (817) 424-1525

505 S Nolen Dr
#A
Southlake, TX 76092
Phone (817) 424-1525

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1750980363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 BOWLING GREEN DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356984",
            "telephone_number": "214-551-5154",
            "fax_number": "877-789-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S NOLEN DR STE A",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929167",
            "telephone_number": "469-851-1250",
            "fax_number": "817-424-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSBY",
        "first_name": "CARLA",
        "middle_name": "LARUE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1011154",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1011154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.