BEANCA SADA MOSS LPN
NPI 1326502105
Licensed Practical Nurse in Manlius, NY

Active since January 26, 2019
128 W PLEASANT ST APT O2, MANLIUS, NY 13104(315) 427-7543 Get Directions Write a Review

NPPES record last updated: January 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Beanca Sada Moss Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEANCA SADA MOSS LPN (NPI 1326502105) is an individual licensed practical nurse in Manlius, New York, licensed in New York (328809-1) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1326502105
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBEANCA SADA MOSSCredential: LPN
Location Address128 W PLEASANT ST APT O2Manlius, NY 13104-1716
Mailing Address128 W Pleasant St Apt O2Manlius, NY 13104-1716 · (315) 427-7543
Sole ProprietorYes
Enumeration DateJanuary 26, 2019
NPI 1326502105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 328809-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
128 W PLEASANT ST APT O2, Manlius, NY 13104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beanca Moss's NPI number?

The NPI number for Beanca Moss is 1326502105. It was assigned to this individual provider in the NPPES registry on January 26, 2019.

Where is Beanca Moss located?

Beanca Moss practices at 128 W Pleasant St Apt O2, Manlius, NY 13104. The listed phone number is (315) 427-7543.

What is Beanca Moss's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Beanca Moss was last updated on January 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.