JENNIFER ANNE MOON (NPI# 1063547842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063547842 |
| Entity Type | Individual |
| Full Name | JENNIFER ANNE MOON |
| Other Name | JENNIFER ANNE HORN |
| Credential | NP |
| Practice Address |
725 Welch Rd Palo Alto CA 94304-1601 |
| Mailing Address |
2680 Hanover St Palo Alto CA 94304-1117 |
| Practice Telephone | 6504978000 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
NP13155 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RN577885 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083233811 | Jennifer Moon | Pharmacist | 501 S New Hampshire Ave Apt 205, Los Angeles, CA 90020-1981 | 2020-04-12 |
| 1528590791 | Jennifer Moon | Student in an Organized Health Care Education/Training Program | 2308 128th Ave Se, Bellevue, WA 98005-4238 | 2017-03-28 |
| 1568789949 | Jennifer Pratt Moon | Pharmacist | 2323 E Colorado Blvd, Spearfish, SD 57783-3203 | 2010-04-26 |
| 1144492927 | Jennifer Moon | Psychologist | 2421 Neander Lane, Safety Harbor, FL 34695 | 2008-04-01 |
| 1609988948 | Jennifer H Moon | Clinical Neuropsychologist | 2542 E Towner St, Tucson, AZ 85716-2117 | 2006-08-31 |
| 1184231060 | Jennifer P Moon | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-09-25 |
| 1942831243 | Jennifer Moon | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-01-27 |
| 1881150746 | Jennifer Moon | Nurse Practitioner | 1009 N Thompson Ln, Murfreesboro, TN 37129-4351 | 2019-02-15 |
| 1821512294 | Jennifer Moon | Optometrist | 5315 Windward Pkwy, Alpharetta, GA 30004-8915 | 2017-07-27 |
| 1073051736 | Jennifer Moon | Nurse Practitioner | 703 Se 1st Ave, Canby, OR 97013-3849 | 2017-02-02 |
| Street Address |
725 WELCH RD |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487658332 | Allen E Eskenazi | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2005-06-09 |
| 1689275059 | Colin Elie | Physician Assistant | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-11-03 |
| 1205434545 | Heather Casale | Dietitian, Registered | 725 Welch Rd, Palo Alto, CA 94304-1614 | 2020-10-09 |
| 1427655851 | Rachel Chapman | Clinical Nurse Specialist | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-10-08 |
| 1083220800 | Morgan Kailey Kosar | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-09-17 |
| 1164037644 | Matthew Ang Ly | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-09-11 |
| 1790398105 | Molly Mcguinness | Genetic Counselor, MS | 725 Welch Rd, Palo Alto, CA 94304-1614 | 2020-08-25 |
| 1811509292 | Stephanie Quinn Hutsell | Pharmacist | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-08-18 |
| 1487270120 | Koyelle Papneja | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-06-18 |
| 1881219715 | Judith M Flood | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558870931 | Wendy Lynn Webb | Nurse Practitioner | 725 Welch Rd Uppr, Palo Alto, CA 94304-1601 | 2017-09-28 |
| 1134397508 | Chloe Luu Journel | Nurse Practitioner | 725 Welch Rd Ste 3554, Palo Alto, CA 94304-1601 | 2008-02-19 |
| 1811022783 | Kathleen Cox | Nurse Practitioner | 725 Welch Rd # 116, Palo Alto, CA 94304-1601 | 2007-02-22 |
| 1942366141 | Ashley Lynn Kinney | Nurse Practitioner | 730 Welch Rd Fl 2, Palo Alto, CA 94304 | 2006-12-29 |
| 1184656449 | Kaylie Kim Chi Nguyen | Nurse Practitioner | 750 Welch Rd Ste 116, Pediatric Gastroenterology, Palo Alto, CA 94304-1508 | 2006-07-07 |
| 1558352054 | Debra G. Hanisch | Nurse Practitioner | 750 Welch Rd, #305, Palo Alto, CA 94304-1507 | 2005-11-02 |
| 1558978643 | Mayra Flores | Nurse Practitioner | 770 Welch Rd, Palo Alto, CA 94304-1511 | 2020-09-23 |
| 1285281329 | Jenna M Oslan | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2019-08-22 |
| 1912553207 | Amber Goglanian | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1614 | 2019-08-13 |
| 1407336241 | Corinna Romantic | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2018-08-21 |
| Find all providers in PALO ALTO | ||||
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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.