MRS. FAWNE MOON (NPI# 1043618283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043618283 |
| Entity Type | Individual |
| Full Name | MRS. FAWNE MOON |
| Practice Address |
50 Essex Street Youngstown OH 44502 |
| Mailing Address |
3754 Baymar Drive Youngstown OH 44511 |
| Practice Telephone | 3307462240 |
| Mailing Telephone | 3304024670 |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2014-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN-102367 | OH | Nursing Service Providers |
| Street Address |
50 ESSEX STREET |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821413717 | Amy Woodford | Speech-Language Pathologist | 50 Essex Street, Youngstown, OH 44502 | 2014-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484189 | Kyle Dalton Flora | Specialist/Technologist | 577 5th Ave Rm 1103, Youngstown, OH 44502 | 2020-07-09 |
| 1700449568 | Lil Indian's Mobile Meals LLC | Meals | 3662 Loveland Rd., Youngstown, OH 44502 | 2019-04-17 |
| 1588155162 | Luke Cantin | Specialist/Technologist | 577 5th Ave, Youngstown, OH 44502 | 2018-05-19 |
| 1104377464 | Jessica Slaughter | Physical Therapist | 299 Edward Street, Youngstown, OH 44502 | 2016-10-20 |
| 1295147585 | Willow Claims Processing, LLC | Case Management | 507 Oak Hill Avenue, 551 New Court, Youngstown, OH 44502 | 2014-05-21 |
| 1710318282 | Ursuline Center | Clinic/Center | 345 Oak Hill Ave Ste 200, Youngstown, OH 44502 | 2013-12-09 |
| 1275891087 | Michael K Lemaster | Counselor | 4949 Urbana Road, Suite 201, Springfield, OH 44502 | 2012-04-30 |
| 1407027378 | Youngstown City Health District | Internal Medicine | 345 Oak Hill Avenue, Youngstown, OH 44502 | 2008-03-18 |
| 1427136431 | Rebecca Ann Nelis | Social Worker | 611 Belmont Avenue, Youngstown, OH 44502 | 2006-11-01 |
| 1558465104 | Lincoln Behavioral Health Care | Clinic/Center | 880 E Indianola Ave, Youngstown, OH 44502 | 2006-09-12 |
| Find all providers in zip 44502 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual 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. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709120 | Arieonna Dejon Smith | Licensed Practical Nurse | 203 Churchill Hubbard Rd Apt 5, Youngstown, OH 44505-1361 | 2020-08-03 |
| 1366050403 | Erica Claytor | Licensed Practical Nurse | 81 E Earle Ave, Youngstown, OH 44507-1302 | 2020-07-15 |
| 1730714296 | Darlene Karen Williams | Licensed Practical Nurse | 3045 Green Acres Dr # Dr3, Youngstown, OH 44505-2038 | 2020-03-05 |
| 1538704424 | Melanie Ross | Licensed Practical Nurse | 445 Bradley Ln, Youngstown, OH 44504-1445 | 2019-11-14 |
| 1174164925 | Chris Trikilis | Licensed Practical Nurse | 75 Struthers Liberty Rd, Youngstown, OH 44505-5007 | 2019-10-02 |
| 1609423334 | Pamela Lott | Licensed Practical Nurse | 1620 Oak St, Youngstown, OH 44506-1347 | 2019-08-19 |
| 1841845625 | Margaret Loraine Mcrae-gibson | Licensed Practical Nurse | 1520 Norman Ave, Youngstown, OH 44506-1629 | 2019-08-07 |
| 1407418403 | Tamika Wyndella Moore | Licensed Practical Nurse | 132 S Beverly Ave, Youngstown, OH 44515-3541 | 2019-07-01 |
| 1982269262 | Lynda Renee Savon | Licensed Practical Nurse | 6551 Lockwood Blvd Apt 2, Youngstown, OH 44512-3905 | 2019-05-02 |
| 1306304167 | Funda Renee Peete | Licensed Practical Nurse | 4027 Helena Ave, Youngstown, OH 44512-1204 | 2019-03-11 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44502 |
Please comment or provide details below to improve the information on MRS. FAWNE MOON.
| 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.