BREANN MOON, LMT (NPI# 1184150674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184150674 |
| Entity Type | Organization |
| Organization Name | BREANN MOON, LMT |
| Practice Address |
453 6th Avenue East N Columbia Falls MT 59912-3220 |
| Practice Telephone | 4063140832 |
| Mailing Telephone | 4063140832 |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |
| Authorized Official Name | BREANN MARIE MOON (LICENSED MASSAGE THERAPIST) |
| Authorized Official Telephone | 4063140832 |
| Authorized Official Credential | LMT, NMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | 1319 | MT | Other Service Providers |
| Street Address |
453 6TH AVENUE EAST N |
| City | COLUMBIA FALLS |
| State | MT |
| Zip Code | 59912-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178455 | Susan Linda Miller | Home Health Aide | 16 Cedar Pointe Lp. #b, Columbia Falls, MT 59912 | 2020-09-09 |
| 1174157200 | Xseed Chiropractic LLC | Chiropractor | 3576 Mt Highway 40 W, Columbia Falls, MT 59912 | 2020-02-27 |
| 1457823585 | Cheryl Lee Bengtson | Massage Therapist | 110 Nucleus Avenue, Suite A, Columbia Falls, MT 59912 | 2018-12-31 |
| 1952881138 | Heavens Peak Healthcare LLC | Clinic/Center | 9540 9th St W, Columbia Falls, MT 59912 | 2018-08-17 |
| 1396123659 | Amy Marie Dear-ruel | Family Medicine | 1675 Talbot Road, Columbia Falls, MT 59912 | 2015-05-07 |
| 1376976787 | Colleen Depuydt Johnson | Social Worker | 305 1st Ave. W, Columbia Falls, MT 59912 | 2013-08-21 |
| 1982979126 | Bonnie Lee Mickelson | Massage Therapist | 805 Nucleus Ave., Columbia Falls, MT 59912 | 2012-03-21 |
| 1134379324 | Kristen Finewood Nix | Physical Therapist | 400 Veterans Way, Columbia Falls, MT 59912 | 2008-09-24 |
| 1164670089 | The Better Breathing Store LLC | Durable Medical Equipment & Medical Supplies | 5035 Hwy 2 West, Columbia Falls, MT 59912 | 2008-09-04 |
| 1184870602 | Basic Health, LLC | Clinic/Center | 305 1st Ave, West, Columbia Falls, MT 59912 | 2008-08-15 |
| Find all providers in zip 59912 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841724077 | Larry Steven Marquez II | Prevention Professional | 3338 Keokuk St, Butte, MT 59701-4426 | 2017-04-13 |
| 1346771797 | Taylor J Canfield | Prevention Professional | 1602 Wicks Ln Unit 3, Billings, MT 59105-6404 | 2017-03-27 |
| 1215599923 | Joel Lankford | Prevention Professional | 825 W Kent Ave, Missoula, MT 59801-6619 | 2019-07-02 |
| 1467991661 | Shelby Whitmore | Prevention Professional | 421 W Mendenhall St, Downstairs, Bozeman, MT 59715-3448 | 2017-02-21 |
| City | COLUMBIA FALLS |
| Zip Code | 59912 |
Please comment or provide details below to improve the information on BREANN MOON, LMT.
| 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.