Melissa K Moss MD LLC

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

Legal business name

MELISSA K MOSS MD LLC

Practice address

802 S 10TH St Ste C
Leesville, LA 71446-4662

Phone

(337) 238-4189

NPI assigned

May 18, 2017

Last updated

Oct 3, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Kaleena Moss, MDNPI 1609869353

Title

Physician

Phone

(333) 333-3333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa K Moss, MD

  • Family Medicine Physician
  • Leesville, LA
  • NPI 1609869353
  Authorized official Same address or phone
• Rebecca Kuntz, FNP

  • Family Nurse Practitioner
  • Leesville, LA
  • NPI 1336777911
  NPD (past)

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1801323001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 S 10TH ST STE C",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 S 10TH ST STE C",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464662",
            "telephone_number": "337-238-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA K MOSS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "KALEENA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "333-333-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1490067",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin McKee
• Tara Kathryn McLamore
• Glenn Barton McMann, PHD
• Harleigh McMillan
• Krista Mead
• John Russell Mercke Jr., MD
• Sylvia Milerski, MASSAGE THERAPIST
• Alexis Miller, LMT
• Kristen Miller
• Minerva M. Ramirez, MD Apmc

• Corporate Health Clinic/Center in Leesville, LA
• Providers in Leesville, LA by specialty
• Corporate Health Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.