MRS. BERTISHIA LASHANTI MOSLEY CNA NPI 1265918874

NPI Information

NPI: 1265918874
Provider Name: MRS. BERTISHIA LASHANTI MOSLEY, CNA
Classification: Clinic/Center - 261QD1600X
Entity Type: Individual

Specialization: Developmental Disabilities

Address:
2308 FULTON WAY
LARGO, FL
ZIP 33774
Phone: (727) 565-9029
Get Directions

MRS. Bertishia Lashanti Mosley, CNA is a developmental disabilities clinic center in Largo, FL. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). MRS. Bertishia Lashanti Mosley, CNA NPI is 1265918874. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2308 FULTON WAY
LARGO, FL
ZIP 33774
Phone: (727) 565-9029

The enumeration date for this NPI number is 7/17/2018 and was last updated on 7/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	251E00000X	Home Health		FLORIDA	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	FLORIDA	No
3	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities			No
4	261QD1600X	Clinic/Center	Developmental Disabilities	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	022971400	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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