MIRANDA MOONEY (NPI# 1164068086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164068086 |
| Entity Type | Individual |
| Full Name | MIRANDA MOONEY |
| Practice Address |
934 S Main St Layton UT 84041-7135 |
| Practice Telephone | 8017737060 |
| Mailing Telephone | 8017737060 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
934 S MAIN ST |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-7135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417931296 | Julie A. Wiese | Psychiatry & Neurology | 934 S Main St, Layton, UT 84041-7135 | 2005-12-05 |
| 1831790492 | Danielle Lexus Ortega | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-11-02 |
| 1861092116 | Paula Lee Moffitt | Registered Nurse | 934 S Main St, Layton, UT 84041-7135 | 2020-10-27 |
| 1235737693 | Shelby Close | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-16 |
| 1659979334 | Mikey Francisco Jaramillo | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-14 |
| 1841897436 | Jadrian Seana Mcdonough | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-06 |
| 1679170542 | Mara Elizabeth Jeffs | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-05 |
| 1194322073 | Hayden Harold Arave | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-05 |
| 1487251666 | Jordon Ashley Robinson | Social Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-10-01 |
| 1093322778 | Makayla Marie Lee Richards | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321879 | Chelsey Marie Sill | Peer Specialist | 934 S Main St, Layton, UT 84041-7135 | 2020-09-17 |
| 1588277073 | Jackson Dunleap | Peer Specialist | 934 S Main St, Layton, UT 84041-7135 | 2020-08-25 |
| 1619580115 | Kara Henderson | Peer Specialist | 934 S Main St, Layton, UT 84041-7135 | 2020-08-25 |
| 1528676244 | Kimberly Ann Penman | Peer Specialist | 934 S Main St, Layton, UT 84041-7135 | 2020-07-20 |
| 1487272506 | Jennifer Ann Turner | Peer Specialist | 934 S Main St, Layton, UT 84041-7135 | 2020-07-07 |
| 1609492792 | Jarret Russell Smith | Peer Specialist | 934 S Main St, Layton, UT 84041-7135 | 2020-06-24 |
| 1053931956 | Kahlee Moore | Peer Specialist | 934 S Main St, Layton, UT 84041-7135 | 2020-04-21 |
| 1467071027 | Mitchell Dean Howe | Peer Specialist | 934 S Main St, Layton, UT 84041-7135 | 2020-04-14 |
| 1225657448 | Nickole Manning | Peer Specialist | 934 S Main St, Layton, UT 84041-7135 | 2020-04-09 |
| 1437789849 | Brock Rawlings | Peer Specialist | 934 S Main St, Layton, UT 84041-7135 | 2020-01-24 |
| Find all providers in LAYTON | ||||
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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.