Individual provider Active NPI

Ashanti Renee Mosby, LMP

  • Specialist
  • Renton, WA
National Provider Identifier
1770728156
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00017189 Issued in WA
Practice address
365 Renton Center Way SW
#F
Renton, WA 98057-2324
Phone
(425) 226-7061
Fax
(425) 226-7063
NPI assigned
Dec 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00017189 WA Primary

Addresses

Primary practice location

365 Renton Center Way SW
#F
Renton, WA 98057-2324

Mailing address

365 Renton Center Way SW
#F
Renton, WA 98057-2324
Phone (425) 226-7061

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

LicenseStateTypeSpecialty
MA00017189WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229040000000",
    "number": "1770728156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 RENTON CENTER WAY SW",
            "address_2": "#F",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572324",
            "telephone_number": "425-226-7061",
            "fax_number": "425-226-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 RENTON CENTER WAY SW",
            "address_2": "#F",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572324",
            "telephone_number": "425-226-7061",
            "fax_number": "425-226-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSBY",
        "first_name": "ASHANTI",
        "middle_name": "RENEE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00017189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.