Carla J Mossman

Primary specialty

ContractorTaxonomy code 171W00000X

License

G06011765 Issued in NE

Practice address

13605 Polk PLZ Apt 805
Omaha, NE 68137-4138

Phone

(402) 720-7496

NPI assigned

Jul 28, 2025

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

Other names 1

• Carla J Oswalt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1821971714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 259",
            "city": "CEDAR BLUFFS",
            "state": "NE",
            "postal_code": "680150259",
            "telephone_number": "402-620-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13605 POLK PLZ APT 805",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681374138",
            "telephone_number": "402-720-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSMAN",
        "first_name": "CARLA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NE",
            "license": "G06011765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "OSWALT",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Knakya Jamyce Moss
• Melanie Moss
• Nigel Moss
• Page Mossage
• Juline Mosser, LIMHP
• Anastasia Most
• Debra E Mostek, MD
• Dennis L Mostek, PHARM. D.
• Kendra L Mostrom
• Kori Mostrom

• Contractor in Omaha, NE
• Providers in Omaha, NE by specialty
• Contractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.