Sandra A Mosby, RN, GNP-BS

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

257544 Issued in TX

Practice address

13851 County Road 194
Tyler, TX 75703-6621

Phone

(210) 415-3189

NPI assigned

Dec 30, 2009

Last updated

Dec 30, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Heather L Bowles

  dba Physicians at Home

  • General Practice Physician
  • Larue, TX
  • NPI 1114151974
  NPD (past)

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1982934766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13851 COUNTY ROAD 194",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757036621",
            "telephone_number": "210-415-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13851 COUNTY ROAD 194",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757036621",
            "telephone_number": "210-415-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSBY",
        "first_name": "SANDRA",
        "middle_name": "A",
        "credential": "RN, GNP-BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "257544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyneta Joyce Morrow
• Jack Morse, MD
• Kayla M Morton, DDS
• Kelsey Rene Morton, AGACNP-BC FNP-BC RN
• Mosaic Counseling Centers of East Texas
• Esther Moscaira, LCSW
• Cole D. Moseley, R.N.
• Stephanie Diane Moseley, CRNA
• Joy Moser
• Igor Moses

• Gerontology Nurse Practitioner in Tyler, TX
• Providers in Tyler, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.