JAMES MOON (NPI# 1265900872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265900872 |
| Entity Type | Individual |
| Full Name | JAMES MOON |
| Practice Address |
129 Blackstone River Rd Worcester MA 01607-1491 |
| Mailing Address |
81 Plantation St Worcester MA 01604-3069 |
| Practice Telephone | 5087575579 |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN275368 | MA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316177041 | James R Moon | Psychologist | 12807 Rossmere Ct, Midlothian, VA 23114-3093 | 2009-07-15 |
| 1861597569 | James Howard Moon | Radiologic Technologist | 210 W Stone Ave, Greenville, SC 29609-5452 | 2006-09-14 |
| 1598756504 | James Edward Moon | Internal Medicine | 8901 Wisconsin Ave Bldg 17, Attn: Medical Staffing and Privileges Office, Bethesda, MD 20889-5600 | 2005-10-31 |
| 1639601685 | James Moon | Internal Medicine | 2 W Fern Ave, Redlands, CA 92373-5916 | 2017-03-29 |
| 1750745311 | James Moon | Student in an Organized Health Care Education/Training Program | 5 E 98th St # 1259, New York, NY 10029-6501 | 2016-04-11 |
| 1235241100 | James Owen Moon | Urology | 3400 Highway 78 E, 412 Medical Arts Tower, Jasper, AL 35501-8907 | 2006-08-31 |
| 1487648002 | James Frank Moon | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1501 W 24th St, Suite A201, Yuma, AZ 85364-6370 | 2005-09-09 |
| 1942294020 | James Moon | Obstetrics & Gynecology | 1054 Burrage Rd Ne, Concord, NC 28025-2910 | 2005-09-06 |
| Street Address |
129 BLACKSTONE RIVER RD |
| City | WORCESTER |
| State | MA |
| Zip Code | 01607-1491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194932889 | Stephanie Joanne Coppolino | Social Worker | 129 Blackstone River Rd, Worcester, MA 01607-1491 | 2007-05-16 |
| 1063826477 | Evan Schinell | Counselor | 129 Blackstone River Rd, Worcester, MA 01607-1491 | 2014-06-13 |
| 1649542754 | Kristin E Fricka | Counselor | 129 Blackstone River Rd, Worcester, MA 01607-1491 | 2012-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194334482 | Kara Louise Fluet | Behavior Technician | 45a Greenwood St, Worcester, MA 01607 | 2020-07-23 |
| 1245890664 | Hajarah Shakir | Developmental Therapist | 35a Greenwood St, Worcester, MA 01607 | 2019-06-18 |
| 1881199289 | Erin Valcourt | Developmental Therapist | 345 A Greenwood St., Suite B, Worcester, MA 01607 | 2018-03-27 |
| 1215466644 | Danielle M Costa | Behavioral Analyst | 345a Greenwood Stree, Suite B, Worceter, MA 01607 | 2017-06-08 |
| 1679007397 | Tara Faford | Developmental Therapist | 345a Greenwood Sreet, Suite B, Worcester, MA 01607 | 2017-04-19 |
| 1598201006 | Destiny Johnson | Developmental Therapist | 345a Greenwich Street Suite B, Worcester, MA 01607 | 2017-01-09 |
| 1962945642 | Anthony Mastrocola | Developmental Therapist | 345a Greenwood St. Suite B, Worcester, MA 01607 | 2016-11-29 |
| 1821444159 | Victoria Lucarini | Behavioral Analyst | 345 Greenwood St. Suite B, Worcester, MA 01607 | 2016-05-05 |
| 1558722173 | Timothy Donahue | Developmental Therapist | 345a Greenwood Street, Suite B, Worcester, MA 01607 | 2016-03-09 |
| 1689033078 | Christine Grudoff | Developmental Therapist | 345a Greendwood Street, Suite B, Worcester, MA 01607 | 2016-02-15 |
| Find all providers in zip 01607 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1962021451 | Patricia Smith | Registered Nurse | 26 Lachapelle St, Worcester, MA 01604-2433 | 2020-04-14 |
| 1598309932 | Andrew Ahearn | Registered Nurse | 6 Mayfair St, Worcester, MA 01603-3219 | 2019-10-29 |
| 1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
| 1245714989 | Kristine Roberts | Registered Nurse | 239 Mill St Ste Bb, Worcester, MA 01602-3191 | 2018-09-19 |
| 1174018253 | Steve Ngoy Kimba Wakadilo | Registered Nurse | 23 Jasmine Dr, Worcester, MA 01605-4002 | 2018-06-29 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1255821336 | Susan St. Cyr | Registered Nurse | 26 Queen St Ste 603, Worcester, MA 01610-2473 | 2018-05-15 |
| 1801309067 | Ketacha Justine Maragh | Registered Nurse | 53 Nutmeg Dr, Worcester, MA 01603-1249 | 2017-11-09 |
| 1083125553 | Chantale Perry | Registered Nurse | 98 Perry Ave, Worcester, MA 01610-2112 | 2017-10-23 |
| Find all providers in WORCESTER | ||||
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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.