KOBI B MOSELEY (NPI# 1700360823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700360823 |
| Entity Type | Individual |
| Full Name | KOBI B MOSELEY |
| Other Name | KOBI BURNETT PETERS |
| Credential | PA |
| Practice Address |
4333 W St Joe Hwy Lansing MI 48917-4100 |
| Practice Telephone | 5173211525 |
| Practice Fax Number | 5173217059 |
| Mailing Telephone | 5173211525 |
| Mailing Fax Number | 5173217059 |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601008921 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCCPA | 1155893 | 01 |
| Street Address |
4333 W ST JOE HWY |
| City | LANSING |
| State | MI |
| Zip Code | 48917-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275635419 | Laureen K Ball | Nurse Practitioner | 4333 W St Joe Hwy, Lansing, MI 48917-4100 | 2006-09-01 |
| 1306444187 | Allison Grace Trevino | Physician Assistant | 4333 W St Joe Hwy, Lansing, MI 48917-4100 | 2020-10-13 |
| 1942836663 | Great Lakes Center of Rheumatology West | Internal Medicine | 4333 W St Joe Hwy, Lansing, MI 48917-4100 | 2020-03-13 |
| 1225420243 | Kimberly Frazier | Nurse Practitioner | 4333 W St Joe Hwy, Lansing, MI 48917-4100 | 2015-02-27 |
| 1932516663 | Jennifer L Rossow | Nurse Practitioner | 4333 W St Joe Hwy, Lansing, MI 48917-4100 | 2014-07-15 |
| 1023362639 | Timothy Robert Palmer | Physician Assistant | 4333 W St Joe Hwy, Lansing, MI 48917-4100 | 2012-11-05 |
| 1316252166 | Kermit Steven Day | Clinical Nurse Specialist | 4333 W St Joe Hwy, Lansing, MI 48917-4100 | 2010-08-17 |
| 1114245362 | Ellen-elizabeth Scarlett | Nurse Practitioner | 4333 W St Joe Hwy, Lansing, MI 48917-4100 | 2010-05-12 |
| 1487729752 | Iris Zink | Nurse Practitioner | 4333 W St Joe Hwy, Lansing, MI 48917-4100 | 2006-11-22 |
| 1992870166 | Carol A Beals | Internal Medicine | 4333 W St Joe Hwy, Lansing, MI 48917-4100 | 2006-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053937102 | Tawni Klein | Speech-Language Pathologist | 701 Snow Rd Suite A, Lansing, MI 48917 | 2020-06-24 |
| 1639700545 | Steevens Pierre Mirville | Technician | 5814 Cabrena Drive, Lansing, MI 48917 | 2020-01-29 |
| 1376197830 | Cheryl Ann Day | Physical Therapist | 7107 Treasure Isle, Lansing, MI 48917 | 2019-08-01 |
| 1912423849 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 419 Lentz Ct, Lansing, MI 48917 | 2017-08-22 |
| 1215367149 | Thomas Ball | Pharmacist | 5125 W Saginaw, Lansing, MI 48917 | 2013-11-13 |
| 1144658659 | Eaton Care Center, LLC | Skilled Nursing Facility | 12200 Broadbent, Lansing, MI 48917 | 2013-10-18 |
| 1154768596 | Casey Stokes | Physical Therapist | 4911 W St Joe Hwy Suite 101, Lansing, MI 48917 | 2013-05-24 |
| 1164774659 | Bona Birki Gada | Pharmacist | 2410 W. Willow St, Apt A203, Lansing, MI 48917 | 2012-10-08 |
| 1497037584 | Fms Lansing, LLC | Clinic/Center | 916 Mall Drive East, Suite 100, Lansing, MI 48917 | 2011-09-14 |
| 1326332396 | Talitha P Easterly | Psychologist | 302 South Waverly, Suite 1, Lansing, MI 48917 | 2011-06-07 |
| Find all providers in zip 48917 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513282 | Kari Ebel | Physician Assistant | 184 Canyon View Dr, Lansing, KS 66043-6254 | 2019-02-06 |
| 1235514076 | Thuy Vu | Physician Assistant | 1214 South Fork St, Lansing, MI 48917-4074 | 2015-07-22 |
| 1164803938 | Sara Elizabeth Berti | Physician Assistant | 612 Pacific Pkwy, Lansing, MI 48910-3334 | 2015-06-17 |
| 1386985091 | Debbie Ann Name | Physician Assistant | 720 First Terrace, Lansing, KS 66043 | 2013-03-05 |
| 1083923841 | Candace Kay Wixson-johnson | Physician Assistant | 5525 S Martin Luther King Jr Blvd, Lansing, MI 48911-3546 | 2010-09-28 |
| 1588986293 | Brent Joseph Leyser | Physician Assistant | 305 Farmstead Ln, Lansing, MI 48917 | 2010-02-22 |
| 1194977330 | Katelyn Elizabeth Lynch | Physician Assistant | 1200 E Michigan Ave Ste 340, Lansing, MI 48912-1894 | 2008-10-21 |
| 1932245560 | Jill Anne Gomoll | Physician Assistant | 1031 E Saginaw St, Lansing, MI 48906-5519 | 2007-01-30 |
| 1629158548 | Foster Brad Morris | Physician Assistant | 5525 S Martin Luther King Blvd, Lansing, MI 48911 | 2006-10-16 |
| 1972589695 | Mark Allan Lawson | Physician Assistant | 901 Kane Dr, Lansing, KS 66043-6305 | 2005-12-15 |
| Find all providers in LANSING | ||||
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| 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.