MRS. SANDRA MARIE MOONEY (NPI# 1710977699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710977699 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA MARIE MOONEY |
| Practice Address |
11065 Little Patuxent Pkwy Columbia MD 21044-2998 |
| Mailing Address |
7925 Anfred Dr Laurel MD 20723-1136 |
| Practice Telephone | 4107305700 |
| Practice Fax Number | 4109643231 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R03707 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | RN | R030707 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588713861 | Sandra Mooney | Counselor | 1003 S Alexander St, Suite 6, Plant City, FL 33563-8400 | 2007-01-09 |
| Street Address |
11065 LITTLE PATUXENT PKWY |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-2998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801885223 | Kathryn Mccrea Cervi | Nurse Practitioner | 11065 Little Patuxent Pkwy, Suite 200, Columbia, MD 21044-2998 | 2005-10-18 |
| 1518168467 | Mary M Dowling | Social Worker | 11065 Little Patuxent Pkwy, Suite 230, Columbia, MD 21044-2998 | 2007-05-29 |
| 1124236286 | Yuanjue Louann Zhang | Internal Medicine | 11065 Little Patuxent Pkwy, Columbia, MD 21044-2998 | 2007-05-20 |
| 1568476745 | Sally B Cheston | Radiology | 11065 Little Patuxent Pkwy, Columbia, MD 21044-2998 | 2006-07-27 |
| 1033164058 | Rona B Eisen | Obstetrics & Gynecology | 11065 Little Patuxent Pkwy, Suite 200, Columbia, MD 21044-2998 | 2006-05-25 |
| 1720054620 | Ann Henderson | Nurse Practitioner | 11065 Little Patuxent Pkwy, Columbia, MD 21044-2998 | 2006-02-28 |
| 1073596151 | Donna M Neale | Obstetrics & Gynecology | 11065 Little Patuxent Pkwy, Center for Maternal and Fetal Medicine, Columbia, MD 21044-2998 | 2005-11-22 |
| 1174513519 | Jeri Shuster, M.d., Women's Center, Inc. | Clinic/Center | 11065 Little Patuxent Pkwy, Suite 200, Columbia, MD 21044-2998 | 2005-10-26 |
| 1033109459 | Jeri Shuster, M.d., Pa | Obstetrics & Gynecology | 11065 Little Patuxent Pkwy, Suite 200, Columbia, MD 21044-2998 | 2005-10-26 |
| 1710976816 | Marguerite Kelly Whall | Nurse Practitioner | 11065 Little Patuxent Pkwy, Suite 200, Columbia, MD 21044-2998 | 2005-10-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376167478 | Tiffanye Chanelle Williams | Nurse Practitioner | 8900 Columbia 100 Pkwy Ste E, Columbia, MD 21045-2336 | 2020-06-04 |
| 1124151246 | Kristin Metcalf-wilson | Nurse Practitioner | 711 N Providence Rd, Columbia, MO 65203-4357 | 2007-03-14 |
| 1578602546 | Beverly I Huegel | Nurse Practitioner | 4311 Hard Scrabble Rd, Columbia, SC 29229-9422 | 2007-02-06 |
| 1952449936 | Lola A Wobken | Nurse Practitioner | 1123 Wilkes Blvd Ste 100, Columbia, MO 65201-4774 | 2007-02-02 |
| 1578506994 | Andrea Alicia Alexander | Nurse Practitioner | 2 Medical Park Rd Ste 106, Columbia, SC 29203-6839 | 2006-06-14 |
| 1962455675 | Linda O Morphis | Nurse Practitioner | 6941 N Trenholm Rd, Suite M, Columbia, SC 29206-1715 | 2006-05-17 |
| 1609849108 | Jana R Keith | Nurse Practitioner | 551 Eagle Day Ave, Columbia, MS 39429-3605 | 2006-02-07 |
| 1528047073 | Marie Belk Fadeley | Nurse Practitioner | University of South Carolina, Thomson Student Health Center Wcc, Columbia, SC 29208-0001 | 2006-01-12 |
| 1073121406 | Kacie Dunn | Nurse Practitioner | 8900 Columbia 100 Pkwy Ste E, Columbia, MD 21045-2336 | 2020-07-22 |
| 1891200572 | Sierra Singleton | Nurse Practitioner | 1801 Sunset Dr, Columbia, SC 29203-6803 | 2017-12-04 |
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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.