STEPHANIE MOON (NPI# 1447781448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447781448 |
| Entity Type | Individual |
| Full Name | STEPHANIE MOON |
| Credential | ARNP, FNP-C |
| Practice Address |
2301 E 14th St Des Moines IA 50316-1901 |
| Practice Telephone | 5152620404 |
| Practice Fax Number | 5152620489 |
| Mailing Telephone | 5152620404 |
| Mailing Fax Number | 5152620489 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A131906 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497199541 | Stephanie A Moon | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1675 Buck Rd, Crozet, VA 22932-2720 | 2013-04-19 |
| 1306038955 | Stephanie M Moon | Nurse Practitioner | 1072 Justison St, Wilmington, DE 19801-5162 | 2007-08-16 |
| 1861099426 | Stephanie J Moon | Social Worker | 3100 47th Ave Ste 3100, Long Island City, NY 11101-3050 | 2020-10-07 |
| 1992273809 | Stephanie E Moon | Occupational Therapist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2018-11-08 |
| 1295238020 | Stephanie Moon | Occupational Therapist | 522 S San Pedro St, Los Angeles, CA 90013-2102 | 2018-03-18 |
| Street Address |
2301 E 14TH ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50316-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760441273 | Brandon E Madson | Family Medicine | 2301 E 14th St, Des Moines, IA 50316-1901 | 2006-03-22 |
| 1528329398 | Erin S Rowan | Family Medicine | 2301 E 14th St, Des Moines, IA 50316 | 2012-06-07 |
| 1609038082 | Mukti Aich | Family Medicine | 2301 E 14th St, Des Moines, IA 50316-1901 | 2008-06-27 |
| 1083804793 | Holley A Bermel | Family Medicine | 2301 E 14th St, Des Moines, IA 50316-1901 | 2007-07-29 |
| 1285693796 | Maria L Mitchell | Family Medicine | 2301 E 14th St, Des Moines, IA 50316-1901 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626320 | Restoration Behavioral Health Center, Inc. | Clinic/Center | 1235 Sampson Street, Des Moines, IA 50316 | 2020-10-12 |
| 1154928497 | Yeshua Reentry and Recovery Center Inc | Community Health Worker | 1235 Sampson St, Des Moines, IA 50316 | 2020-10-08 |
| 1639594484 | Tripti Kaul | Dentist | 1345 E. University Avenue, #302, Des Moines, IA 50316 | 2014-03-03 |
| 1184979023 | Ashley Marie Mundt | Physical Therapist | 710 Riverview Street, Des Moines, IA 50316 | 2012-07-17 |
| 1942562020 | Angela Maria Runkel | Nurse Practitioner | 1201 Penn Avenue, Penn Avenue Internal Medicine, Des Moines, IA 50316 | 2012-06-13 |
| 1821390121 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 2117 Dixon St, Des Moines, IA 50316 | 2010-11-19 |
| 1588838841 | Leenu Mishra | Psychiatry & Neurology | 700 East University Ave 3 West, Blank Childrens Psychiatry, Des Moines, IA 50316 | 2008-04-17 |
| 1477721686 | Kristin K Horning | Pharmacist | 840 East University Avenue, Des Moines, IA 50316 | 2008-02-11 |
| 1770695488 | Terrance O Kurtz | Internal Medicine | 2100 Dixon, Suite E Concentra Clinic, Des Moines, IA 50316 | 2006-08-31 |
| 1487281085 | Timothy Andrew Flynn | Behavioral Analyst | 1301 Pennsylvania Ave, Suite #305, Des Moines, IA 50316 | 2020-03-24 |
| Find all providers in zip 50316 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277404 | Alyson Seamer | Nurse Practitioner | 8455 Ridgeview Dr, Des Moines, IA 50320-6954 | 2020-08-29 |
| 1508477316 | Frederick James Nesbit IIi | Nurse Practitioner | 500 N Valley Dr Unit 804, Des Moines, IA 50312-1625 | 2020-08-14 |
| 1992322465 | Angela Monique Dudley | Nurse Practitioner | 3412 Crestmoor Pl, Des Moines, IA 50310-5011 | 2020-07-01 |
| 1952944910 | Tina Marie Vosberg | Nurse Practitioner | 400 Locust St Ste 400, Des Moines, IA 50309-2352 | 2019-10-22 |
| 1568968121 | Maria Theresa Latoja-lovan | Nurse Practitioner | 2508 East 48th Street, None, Des Moines, IA 50317-4736 | 2018-04-03 |
| 1851831499 | Lacey Rae Cheeseman | Nurse Practitioner | 3200 Grand Ave # 6, Des Moines, IA 50312-4104 | 2017-03-01 |
| 1346784808 | Ashley Grace Brown | Nurse Practitioner | 2105 Ingersoll Ave Ste 101, Des Moines, IA 50312-5201 | 2016-12-16 |
| 1811354483 | Renea Lynn Kestel | Nurse Practitioner | 1200 University Ave Ste 1200, Des Moines, IA 50314-2343 | 2016-01-27 |
| 1649658014 | Megan Bradley | Nurse Practitioner | 4020 Merle Hay Rd Ste 100, Des Moines, IA 50310-1310 | 2015-05-18 |
| 1245624626 | Blake C Williams | Nurse Practitioner | 1215 Pleasant St Ste 506, Des Moines, IA 50309-1418 | 2015-03-24 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50316 |
Please comment or provide details below to improve the information on STEPHANIE MOON.
| 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.