Lashaaisha Moss, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP139822 Issued in TX

Practice address

29255 Northwestern Hwy Ste 100
Southfield, MI 48034-5740

Phone

(248) 358-2410

Fax

(248) 358-2470

NPI assigned

Dec 10, 2018

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)

Enrolled

Credentials

Nurse Practitioner

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.

• My Kids Doc-Southfield

  • Pediatric Adolescent Medicine Physician
  • Southfield, MI
  • NPI 1730187840
  NPD (past)

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1780155242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29255 NORTHWESTERN HWY STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345740",
            "telephone_number": "248-358-2410",
            "fax_number": "248-358-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29255 NORTHWESTERN HWY STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345740",
            "telephone_number": "248-358-2410",
            "fax_number": "248-358-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "LASHAAISHA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Mosley-Jenkins, MA, LLPC
• Aliza Mosley
• Jmani Mosley
• Moss Therapy and Wellness, PLLC
• Kandice Moss, LLPC
• Myla Denise Moss
• Rasik Mostafa
• Skye Moten
• Mother'S Friend Maternal/Infant Support Services
• Mother'S Friend Mihp2

• Family Nurse Practitioner in Southfield, MI
• Providers in Southfield, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.