Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Khamphou Manivanh Mosley, FNP-BC

Individual provider Nurse Practitioner · NPI 1093205049

Khamphou Manivanh Mosley, FNP-BC is a Nurse Practitioner in Okeechobee, Florida. Qualified in 2017, 9 years ago. Practices with Florida Community Health Centers Inc, a 34-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida, North Carolina and South Carolina.

Years since qualifying
9
Licensed in
FL, NC, SC
In the registry since
2018
Specialties on file
3
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1100 N Parrott Ave
Okeechobee, FL 34972-2129
Phone: (863) 763-7481
Fax: (844) 542-4899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 — (888) 849-7379
  • 2636 Elm Hill Pike, Nashville, TN 37214-3162 — (347) 761-3230

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11002153 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 21726 (SC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5010768 (NC)

Record details

NPI number1093205049
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMay 15, 2018
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Florida Community Health Centers Inc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Okeechobee