MRS. STEPHANIE A MOON (NPI# 1497199541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497199541 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE A MOON |
| Practice Address |
1675 Buck Rd Crozet VA 22932-2720 |
| Practice Telephone | 4342054333 |
| Practice Fax Number | 4342054016 |
| Mailing Telephone | 4342054333 |
| Mailing Fax Number | 4342054016 |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | FEDERAL I D | 274236485 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1447781448 | Stephanie Moon | Nurse Practitioner | 2301 E 14th St, Des Moines, IA 50316-1901 | 2017-03-22 |
| Street Address |
1675 BUCK RD |
| City | CROZET |
| State | VA |
| Zip Code | 22932-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841335031 | George A Guess, Md, PC | Clinic/Center | 5380 Golf Dr, Suite 101, Crozet, VA 22932 | 2007-02-21 |
| 1801950431 | Emery Folger Taylor Jr. | Dentist | 1191 Crozet Ave., Crozet, VA 22932 | 2006-12-20 |
| 1770662751 | John C Schoeb | Dentist | 5974 Jarmans Gap Rd, Crozet, VA 22932 | 2006-11-02 |
| 1962415281 | Laura Melissa Stewart | Social Worker | 1186 Crozet Avenue, Crozet, VA 22932 | 2006-08-15 |
| 1528066545 | Amie R Munson | Family Medicine | 1646 Park Ridge Dr, Crozet, VA 22932 | 2005-07-13 |
| 1699001016 | Elizabeth Monahan Driscoll | Nurse Practitioner | 1646 Park Ridge Dr, Crozet, VA 22932 | 2009-10-20 |
| 1245272376 | Russell C Sawyer | Family Medicine | 1646 Park Ridge Dr, Crozet, VA 22932 | 2006-06-12 |
| 1942248950 | Anne E Boyland | Nurse Practitioner | 1646 Park Ridge Dr, Crozet, VA 22932 | 2006-06-02 |
| 1093093700 | George Albert Guess | Family Medicine | 5380 Golf Dr, Suite 101, Crozet, VA 22932-1512 | 2011-07-29 |
| 1528195039 | David Luedeka | Physical Therapist | 5924 Fried Farm Rd, Crozet, VA 22932-1605 | 2007-02-28 |
| Find all providers in zip 22932 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729213 | Saint Claire Healthcare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5601 Seminary Rd Apt 915n, Falls Church, VA 22041-2997 | 2020-10-28 |
| 1780283275 | Great Day Residential | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6606 Gills Gate Pl, Chesterfield, VA 23832-6004 | 2020-10-26 |
| 1306451448 | Nikita S Banks | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 505 Cumberland Street Ave, Ste 2, Portsmouth, VA 23704-2370 | 2020-09-15 |
| 1396359576 | Best Hope Community Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9662 Hawkshead Dr, Lorton, VA 22079-2786 | 2020-09-03 |
| 1609489038 | Viana Healthcare Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8205 Mockingbird Dr, Annandale, VA 22003-3713 | 2020-08-25 |
| 1770196339 | Jilly Healthcare Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4145 Lenox Dr, Fairfax, VA 22032-1112 | 2020-08-24 |
| 1225640279 | Guardian Angels Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1116 Pin Oak Drive, Suffolk, VA 23434-2343 | 2020-08-20 |
| 1659993079 | Collaborative Community LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6000 Filbert Ct, Springfield, VA 22152-1609 | 2020-05-07 |
| 1356962252 | Intellectual Services Group, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4813 Integrity Ct, Fredericksburg, VA 22408-1891 | 2020-05-01 |
| 1699394346 | Peace of Mind Residential Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Pinehurst Ln, Stafford, VA 22554-7288 | 2020-04-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. STEPHANIE A 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.