CORA DENEA MOONIN (NPI# 1326671884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326671884 |
| Entity Type | Individual |
| Full Name | CORA DENEA MOONIN |
| Credential | N/A |
| Practice Address |
2825 W 42nd Ave Anchorage AK 99517-2830 |
| Practice Telephone | 9072435130 |
| Practice Fax Number | 9072488350 |
| Mailing Telephone | 9072435130 |
| Mailing Fax Number | 9072488350 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |
| 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 |
2825 W 42ND AVE |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99517-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275551855 | Donalita Grace Maloney | Psychologist | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2006-07-18 |
| 1407485154 | Cortney Anderson | Peer Specialist | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2020-04-05 |
| 1023641412 | Rashad Dominic Arnsworth | Peer Specialist | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2020-02-13 |
| 1063073419 | Louise Diane Shavings | Counselor | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2019-06-26 |
| 1215598677 | Lynden Grothe | Counselor | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2019-06-26 |
| 1710548078 | Stephanie Rene Claiborne | Counselor | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2019-06-26 |
| 1376104646 | Stancer Hall | Behavior Technician | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2019-06-26 |
| 1629639901 | Jason Noel | Behavior Technician | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2019-06-26 |
| 1245891571 | Michael Ralph Jacobs | Counselor | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2019-06-26 |
| 1871953968 | Genesis Recovery Services, Inc. | Community/Behavioral Health | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2016-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871905679 | Luminary LLC | Massage Therapist | 1838 W. Northern Lights, Anchorage, AK 99517 | 2014-05-28 |
| 1447595129 | Antonina Ivanovna Shangraw | Behavioral Analyst | 2425 Captain Cook Dr, Anchorage, AK 99517 | 2012-12-06 |
| 1407000755 | James N. Duchanin | Physician Assistant | 3105 Lakeshore Dr., Bldg A, Ste 101, Anchorage, AK 99517 | 2008-11-13 |
| 1720290786 | Turnagain Foster Home | Assisted Living Facility | 2812 West 29th Ave, Anchorage, AK 99517 | 2007-05-04 |
| 1124244306 | Turnagain Foster Home | Taxi | 2900 West 29th Ave, Anchorage, AK 99517 | 2007-04-17 |
| 1497825798 | Scott Paul Mackie | Internal Medicine | 3710 Woodland Road, Suite 1100, Anchorage, AK 99517 | 2006-11-08 |
| 1629046446 | Ana Verzone | Nurse Practitioner | 3740 Clay Products Dr., Anchorage, AK 99517 | 2006-03-08 |
| 1740897503 | Far North Urology & Research PC | Urology | 2120 Sonstrom Dr, Anchorage, AK 99517-1018 | 2020-09-25 |
| 1376697011 | Celia Foley | Speech-Language Pathologist | 2515 Telequana Dr, Anchorage, AK 99517-1028 | 2007-01-22 |
| 1730122946 | Daryl A Young | Nurse Practitioner | 3611 Knik Avenue, Anchorage, AK 99517-1045 | 2006-06-14 |
| Find all providers in zip 99517 | ||||
| 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 |
|---|---|---|---|---|
| 1851998223 | Patricia Main | Peer Specialist | 2601 W 34th Ave Apt 7, Anchorage, AK 99517-2142 | 2020-10-07 |
| 1811534803 | Colleen H Ward-wilson | Peer Specialist | 3600 San Jeronimo Dr Ste 300, Anchorage, AK 99508-2870 | 2019-12-09 |
| 1538701222 | Betty Jo Shepherd-hebb | Peer Specialist | 4110 Debarr Rd Spc G17, Anchorage, AK 99508-3176 | 2019-10-14 |
| 1194366088 | Matalena Suitupe Lokeni | Peer Specialist | 7650 Mayfair Dr Apt C, Anchorage, AK 99502-7212 | 2019-10-02 |
| 1629676192 | Harrison Mann | Peer Specialist | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2020-10-15 |
| 1518573989 | Teresa Elaine Doyle | Peer Specialist | 3600 San Jeronimo Dr Ste 210, Anchorage, AK 99508-2870 | 2020-09-21 |
| 1447863089 | Sean Theodore Williams | Peer Specialist | 3600 San Jeronimo Dr Ste 210, Anchorage, AK 99508-2870 | 2020-08-24 |
| 1962013656 | Erica Lu Nielsen | Peer Specialist | 3760 Piper St Ste 1090, Anchorage, AK 99508-4683 | 2020-08-14 |
| 1407485154 | Cortney Anderson | Peer Specialist | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2020-04-05 |
| 1013543800 | Robert Lee Seay II | Peer Specialist | 3600 San Jeronimo Dr, Anchorage, AK 99508-2870 | 2020-03-12 |
| Find all providers in ANCHORAGE | ||||
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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.