KELLY M. MOSS


Address: 700 Sullivan Rd, Statesville, NC 28677-3440
Phone: 7049249111

KELLY M. MOSS (NPI# 1841640455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841640455
Entity Type Individual
Full Name KELLY M. MOSS
Credential NP
Practice Address 700 Sullivan Rd
Statesville
NC 28677-3440
Mailing Address Po Box 1845
Statesville
NC 28687-1845
Practice Telephone 7049249111
Practice Fax Number 7048830452
Enumeration Date 2016-06-14
Last Update Date 2020-06-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
5009456 NC Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY MOSS

NPI Name Taxonomy Address Enumeration
1649646712 Kelly Moss Counselor 102 Aberdeen Dr, Sicklerville, NJ 08081-4338 2015-08-12
1396374476 Kelly Moss Behavior Technician 514 S Hunt Club Blvd, Apopka, FL 32703-4948 2020-04-02
1225512478 Kelly Nicole Moss Physician Assistant 601 Spruce St, West Reading, PA 19611-1443 2018-09-23
1407023740 Kelly Paige Moss Psychologist 1650 Cochrane Circle, Evans Army Comm Hosp Behavioral Health 4th Floor, Apo, AA 80913-4604 2008-05-15
1114936192 Kelly G Moss Family Medicine 211 Ky 59, Vanceburg, KY 41179-7647 2006-08-07

Office Location

Street Address 700 SULLIVAN RD
City STATESVILLE
State NC
Zip Code 28677-3440

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881661205 Burgo Doyle Gill IIi Physician Assistant 700 Sullivan Rd, Statesville, NC 28677-3440 2006-03-03
1194379123 Wesley Lockman Registered Nurse 700 Sullivan Rd, Statesville, NC 28677-3440 2019-07-29
1780130518 Jason Noble Physician Assistant 700 Sullivan Rd, Statesville, NC 28677-3440 2016-08-31
1811291636 Carol Lynn La Torre Nurse Practitioner 700 Sullivan Rd, Statesville, NC 28677-3440 2011-01-08
1306035373 Paul Anthony Leonard Physician Assistant 700 Sullivan Rd, Statesville, NC 28677-3440 2007-10-16
1073677720 Cynthia Loree Mitchell Physician Assistant 700 Sullivan Rd, Statesville, NC 28677-3440 2006-12-20
1255388930 Susan M Quirk Physician Assistant 700 Sullivan Rd, Statesville, NC 28677-3440 2006-05-28
1558324152 Kelly Ann Boone Nurse Practitioner 700 Sullivan Rd, Statesville, NC 28677-3440 2006-04-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306472311 Crystal Medley Hopkins Nurse Practitioner 105 Summer Breeze Court, Statesville, NC 28677 2020-03-21
1922634484 Tracey Holton Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 2020-03-17
1962069286 Leap Child & Family Services LLC Developmental Therapist 119 North Tradd Street, Statesville, NC 28677 2019-05-22
1831604891 Ingles Markets Inc Pharmacy 722 Sullivan Rd, Statesville, NC 28677 2017-12-12
1235663162 Sandra Lorraine Scalese Physical Therapy Assistant 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 2017-04-18
1437698891 Sherry Blevins Hager Pharmacist 722 Sullivan Road, Statesville, NC 28677 2017-02-17
1063828507 Susan Marie S Sheffield Dentist 518 Brookdale Drive, Statesville, NC 28677 2014-07-04
1659782449 Easter Seals Ucp Community/Behavioral Health 913 Carolina Ave, Statesville, NC 28677 2014-05-14
1306268016 Randall Scott Perry Dentist 1132 Davie Avenue, Statesville, NC 28677 2014-01-15
1215215876 Silhouette Enterprises Prosthetic/Orthotic Supplier 909 Carolina Ave, Statesville, NC 28677 2011-08-01
Find all providers in zip 28677

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548887706 Tasha Marie Vangile Nurse Practitioner 120 Westview Ln, Statesville, NC 28625-8221 2020-07-02
1306472311 Crystal Medley Hopkins Nurse Practitioner 105 Summer Breeze Court, Statesville, NC 28677 2020-03-21
1144626003 Valorie Stewart Byrd Nurse Practitioner 150 Magnolia Hill Ln, Statesville, NC 28677-9735 2014-11-05
1538461967 Bethany J Sprague Nurse Practitioner 2632 Fines Creek Dr, Statesville, NC 28625 2010-11-17
1427362367 Melissa Stevens Jolly Nurse Practitioner 513 Brookdale Dr, Statesville, NC 28677-4107 2010-08-03
1558695213 Jessica Daniels Wood Nurse Practitioner 310 Davie Avenue, Statesville, NC 28677 2009-09-29
1477789147 Greenbriar Primary Care, Pa Nurse Practitioner 308-c Mocksville Highway, Statesville, NC 28625 2009-06-08
1508063355 Ann Green Moose Nurse Practitioner 1893 E Broad St # B-4, Statesville, NC 28625-4307 2007-06-27
1073739843 Judy Lackey Keighron Nurse Practitioner 308c Mocksville Hwy, Statesville, NC 28625-8267 2007-04-18
1578788741 Beverly B Sproul Nurse Practitioner 470 Crawford Rd, Statesville, NC 28625-8545 2007-04-14
Find all providers in STATESVILLE

Competitor

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City STATESVILLE
Zip Code 28677

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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