LISA MOON (NPI# 1821440165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821440165 |
| Entity Type | Individual |
| Full Name | LISA MOON |
| Credential | RN |
| Practice Address |
13723 Findlay Ave Apple Valley MN 55124-8070 |
| Practice Telephone | 9529137263 |
| Mailing Telephone | 9529137263 |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
4704169177 | MI | Nursing Service Providers |
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
R-173422-7 | MN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164046769 | Lisa Moon | Registered Nurse | 2584 Maple Ave, Palmyra, NY 14522-9372 | 2020-05-31 |
| 1730589334 | Lisa Moon | Psychologist | 2025 E Main St, Suite 207c, Richmond, VA 23223-7069 | 2014-09-02 |
| 1073877072 | Lisa Moon | Pharmacist | 201 Junction Rd, Madison, WI 53717-2615 | 2012-06-25 |
| 1801157532 | Lisa Moon | Obstetrics & Gynecology | 920 Sl Young Blvd, Oklahoma City, OK 73104-5036 | 2012-05-29 |
| 1164728267 | Lisa R Moon | Registered Nurse | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2011-02-07 |
| 1902077951 | Lisa Moon | Social Worker | 515 Holly Street, Mcgehee, AR 71654 | 2008-03-18 |
| 1427112390 | Lisa J Moon | Social Worker | 21 Montauk Ave, New London, CT 06320-4906 | 2006-12-21 |
| 1174592869 | Lisa Elaine Moon | Optometrist | 360 Sierra College Dr, Suite 100, Grass Valley, CA 95945-5088 | 2006-03-15 |
| Street Address |
13723 FINDLAY AVE |
| City | APPLE VALLEY |
| State | MN |
| Zip Code | 55124-8070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1629612569 | Gadaa Care Transportation | Non-emergency Medical Transport (VAN) | 7296 157th St W, Apple Valley, MN 55124 | 2019-11-04 |
| 1356831515 | Dustin W Seabolt | Hearing Instrument Specialist | 15071 Dunwood Trl, Apple Valley, MN 55124 | 2018-05-14 |
| 1639687189 | Dentalign P.a. | Clinic/Center | 15875 Emperor Avenue, Apple Valley, MN 55124 | 2018-01-18 |
| 1982126926 | Apex Family Chiropractic LLC | Chiropractor | 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 | 2017-07-12 |
| 1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
| 1134578826 | Ellen Denise Jacobson | Dentist | 14682 Pennock Avenue South, Apple Valley, MN 55124 | 2016-06-03 |
| 1831568708 | Clearriver Inc. | Home Health | 13790 Elkhart Rd, Apple Valley, MN 55124 | 2015-09-21 |
| 1265826879 | Next Level Fitness Co | Public Health or Welfare | 14645 Felton Ct, 104, Apple Valley, MN 55124 | 2015-03-20 |
| 1568872216 | Jon Butala | Marriage & Family Therapist | 4300 W 147th St., Suite 204, Apple Valley, MN 55124 | 2014-05-04 |
| Find all providers in zip 55124 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312118 | Live Life Well Sevices LLC | Registered Nurse | 1469 Gardena Ave Ne, Fridley, MN 55432-5815 | 2020-10-01 |
| 1225641509 | Celia Marie Petrowiak | Registered Nurse | 308 Jeri St, Fairmont, MN 56031-3249 | 2020-08-26 |
| 1134762404 | Crystal Marie Macfarlane | Registered Nurse | 2232 Jefferson St, Duluth, MN 55812-2114 | 2019-10-19 |
| 1689237638 | Jill Wackler | Registered Nurse | 2404 Greenbriar Ln, Buffalo, MN 55313-2368 | 2019-04-16 |
| 1871082354 | Shelly Lynn Manthey | Registered Nurse | 2701 W Superior St Ste 101, Duluth, MN 55806-1857 | 2018-05-09 |
| 1184153579 | Emily Marie Domeier | Registered Nurse | 1961 Premier Dr., Suite 340, Mankato, MN 56001 | 2017-06-08 |
| 1366993339 | Kristen Mellen | Registered Nurse | 104 Buckingham Ct, Mankato, MN 56001-5576 | 2016-10-14 |
| 1669857587 | Kacey Ann Kasel | Registered Nurse | 820 Winnebago Ave, Suite 3, Fairmont, MN 56031-3645 | 2015-07-21 |
| 1205218989 | Kristen Louise Siewert | Registered Nurse | 3249 Noble Ave N, Golden Valley, MN 55422-3016 | 2015-06-18 |
| 1285014142 | Arnold Smith | Registered Nurse | 3459 15th St Nw, Apt. D, Bemidji, MN 56601-5230 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
| City | APPLE VALLEY |
| Zip Code | 55124 |
Please comment or provide details below to improve the information on LISA 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.