Individual provider Active NPI

Carina Yvette Mosley, CCC-SLP

  • Speech-Language Pathologist
  • Lakeland, FL
National Provider Identifier
1801034160
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA9299 Issued in FL
Practice address
5130 S Florida Ave Ste 411
Lakeland, FL 33813-2539
Phone
(863) 732-9955
Fax
(863) 210-2157
NPI assigned
Jan 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA9299 FL Primary

Addresses

Primary practice location

5130 S Florida Ave Ste 411
Lakeland, FL 33813-2539

Mailing address

5130 S Florida Ave Ste 411
Lakeland, FL 33813-2539
Phone (863) 732-9955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150714001060 FL Practitioner - Qualified Speech Language Pathologist 5698088078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtually Speaking, LLCGroup PAC ID 9830590108, 2 clinicians

Practice addresses (Care Compare)

1849 N Crystal Lake Dr
Lakeland, FL 33801-5902
Phone (863) 732-9955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA9299FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sobe Innovative Rehabilitation PLLC Speech-Language Pathologist CurrentSince Oct 4, 2022 Accepting new patients
Virtually Speaking, LLC Speech-Language Pathologist CurrentSince Oct 20, 2020 Accepting new patients
The Caring Group- Caring, Uplifting, Serving, LLC PastSince Aug 2, 2020 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

1849 N Crystal Lake Dr
Lakeland, FL 33801
Phone (863) 732-9955

122 E Main St
#301
Lakeland, FL 33801
Phone (863) 712-4513

5130 S Florida Ave
Ste 411
Lakeland, FL 33813
Phone (725) 300-0603

Organizations & group practices 3

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": "1232841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1801034160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 S FLORIDA AVE STE 411",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132539",
            "telephone_number": "863-732-9955",
            "fax_number": "863-210-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 S FLORIDA AVE STE 411",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132539",
            "telephone_number": "863-732-9955",
            "fax_number": "863-210-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "CARINA",
        "middle_name": "YVETTE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-25",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.