Active NPI
Joshua Mosakowski, AGPCNP-BC
- Adult Health Nurse Practitioner
- Mooresville, NC
National Provider Identifier
1891461265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 5014901
- Practice address
- 142 S Cardigan Way Ste D-2
Mooresville, NC 28117-8536 - Phone
- (502) 327-9100
- NPI assigned
- Aug 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3019045 | KY | |
| Gerontology Nurse Practitioner | 363LG0600X | 5014901 | NC | |
| Adult Health Nurse Practitioner | 363LA2200X | 5014901 | NC | Primary |
Addresses
Primary practice location
142 S Cardigan Way Ste D-2
Mooresville, NC 28117-8536
Mailing address
4939 Sunburst LN
Charlotte, NC 28213-4244
Phone (980) 621-0994
Other practice location 1
9510 Ormsby Station Rd Ste 100
Louisville, KY 40223-4082
Phone (502) 327-9100
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3019045 | KY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1891461265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4939 SUNBURST LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282134244",
"telephone_number": "980-621-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 S CARDIGAN WAY STE D-2",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178536",
"telephone_number": "502-327-9100"
}
],
"practiceLocations": [
{
"address_1": "9510 Ormsby Station Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402234082",
"country_code": "US",
"telephone_number": "502-327-9100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSAKOWSKI",
"first_name": "JOSHUA",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-17",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3019045",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "5014901",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "5014901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.