Active NPI
Ashley Moss, CPO
- Prosthetist
- Searcy, AR
National Provider Identifier
1902565567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 00279
- Practice address
- 2930 E Moore Ave
Searcy, AR 72143-4831 - Phone
- (501) 368-0868
- Fax
- (501) 368-0003
- NPI assigned
- Dec 10, 2021
- Last updated
- Apr 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 00279 | AR | |
| Prosthetist | 224P00000X | 00279 | AR | Primary |
Addresses
Primary practice location
2930 E Moore Ave
Searcy, AR 72143-4831
Mailing address
2930 E Moore Ave
Searcy, AR 72143-4831
Phone (501) 368-0868
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00279 | AR | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Prosthetic Services, Inc. | Orthotist | Current | Accepting new patients |
Locations
2930 E Moore Ave
Searcy, AR 72143
Phone (501) 368-0868
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1902565567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 E MOORE AVE",
"city": "SEARCY",
"state": "AR",
"postal_code": "721434831",
"telephone_number": "501-368-0868",
"fax_number": "501-368-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 E MOORE AVE",
"city": "SEARCY",
"state": "AR",
"postal_code": "721434831",
"telephone_number": "501-368-0868",
"fax_number": "501-368-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "ASHLEY",
"credential": "CPO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-10",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "AR",
"license": "00279",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "AR",
"license": "00279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Searcy, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.