MRS. JULIA L MOON (NPI# 1912038555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912038555 |
Entity Type | Individual |
Full Name | MRS. JULIA L MOON |
Other Name | MISS JULIA L KRIZAN |
Credential | COTA,L |
Practice Address |
10300 W 103rd St Suite 300 Overland Park KS 66214-2642 |
Mailing Address |
4435 W 152nd Ct Leawood KS 66224-9782 |
Practice Telephone | 9138941910 |
Enumeration Date | 2007-03-07 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | 2002030254 | MO | Other Service Providers |
Y | 174400000X | Specialist | 18-00225 | KS | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | STATE LICENSE NUMBER | 2002030254 | 01 |
KS | STATE LICENSE NUMBER | 18-00225 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912566837 | Julia L Moon | Emergency Medicine | 230 N Broad St, Philadelphia, PA 19102-1121 | 2019-06-13 |
1265705750 | Julia Diane Moon | Nurse Practitioner | 1230 Us Highway 70 E, Suite 1, New Bern, NC 28560-6616 | 2012-02-15 |
Street Address |
10300 W 103RD ST SUITE 300 |
City | OVERLAND PARK |
State | KS |
Zip Code | 66214-2642 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578606620 | David Troy Robert | Specialist | 10300 W 103rd St, #300, Overland Park, KS 66214-2642 | 2007-02-15 |
1144474487 | Steve Paul Mullins | Specialist/Technologist | 10300 W 103rd St, Suite 300, Overland Park, KS 66214-2642 | 2008-11-13 |
1184877896 | Kim M Lemmons | Physical Therapy Assistant | 10300 W 103rd St, Suite 300, Overland Park, KS 66214-2642 | 2008-10-24 |
1316198898 | Terri Lynne Newkirk | Physical Therapist | 10300 W 103rd St, Suite 300, Overland Park, KS 66214-2642 | 2008-10-02 |
1720235732 | Debra Ann Ganson | Occupational Therapy Assistant | 10300 W 103rd St, Suite 300, Overland Park, KS 66214-2642 | 2008-08-20 |
1972762714 | Dwain E Kelley | Physical Therapist | 10300 W 103rd St, Suite 300, Overland Park, KS 66212 | 2008-06-06 |
1700045705 | Madonna Renee Cooper | Physical Therapist | 10300 W 103rd St, Suite 300, Overland Park, KS 66214-2642 | 2008-06-04 |
1679748081 | Jonie Davis Furlong | Physical Therapy Assistant | 10300 W 103rd St, Suite 300, Overland Park, KS 66214-2642 | 2008-04-25 |
1669646212 | Becky J Anderson | Occupational Therapist | 10300 W 103rd St, Suite 300, Overland Park, KS 66214-2642 | 2008-04-15 |
1548433675 | Jessica Jane Larson | Physical Therapist | 10300 W 103rd St, Suite 300, Overland Park, KS 66214-2642 | 2008-04-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871145532 | Sparkling Fountain of Love Adult Care Homes | Meals | 8525 Switzer Road, Overlandpark, KS 66214 | 2019-07-12 |
1295259174 | Chelsea Leigh Nettle | Specialist/Technologist | 9111 Barton, Overland Park, KS 66214 | 2017-08-01 |
1548707177 | Rita M Burnett Dds Mobile LLC | Dentist | 8367 Nieman Rd, Lenexa, KS 66214 | 2017-01-20 |
1760843346 | Pride Care Medical Equipment and Mobility LLC | Durable Medical Equipment & Medical Supplies | 11759 W 86th Ter, Lenexa, KS 66214 | 2016-03-10 |
1861864381 | Melanie Ellsworth | Specialist/Technologist | 10533 Goddard Street, Apt 331, Overland Park, KS 66214 | 2015-10-23 |
1043618135 | Heartland Medical, LLC | Pharmacy | 7955 Flint Street, Lenexa, KS 66214 | 2014-12-05 |
1912241902 | Laura Elizabeth Ponce | Acupuncturist | 7410 Switzer Rd., Shawnee, KS 66214 | 2012-11-15 |
1154563732 | Megan Elizabeth Hutchinson Frazier | Occupational Therapist | 10300 W. 103rd St., Suite 300, Quantum Health Professionals, Overland Park, KS 66214 | 2009-03-30 |
1205078151 | Kortney Marie Cuddigan | Occupational Therapist | 10300 West 103rd Street, Suite 300, Overaland Park, KS 66214 | 2009-03-24 |
1114174158 | Michelle Renee Neher | Speech-Language Pathologist | 10300 W 103rd Street, Suite 300, Overland Park, KS 66214 | 2008-08-21 |
Find all providers in zip 66214 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164765707 | Solomon Batnitzky | Specialist | 9996 Mackey Cir, Overland Park, KS 66212-3458 | 2013-04-02 |
1821338005 | Susan Gliesman | Specialist | 15751 Beverly St, Overland Park, KS 66223-3567 | 2013-02-25 |
1982848479 | Jennifer Herynk Thomas | Specialist | 5820 W 85th Ter, Overland Park, KS 66207-1665 | 2009-04-28 |
1184876500 | Gary D Hall | Specialist | 14340 Metcalf Ave, Overland Park, KS 66223-2987 | 2008-10-16 |
1942459417 | Martha Byers | Specialist | 10600 Quivira Rd Ste 120, Overland Park, KS 66215-2311 | 2008-09-09 |
1871794024 | Sheryl Geistkemper-ragland | Specialist | 9700 W 96th St, Overland Park, KS 66212-5105 | 2007-05-29 |
1063628634 | L. Susan Herrman | Specialist | 10300 W 103rd St Ste 400, Overland Park, KS 66214-2642 | 2007-05-14 |
1609081173 | Shawn Marie Barry | Specialist | 10300 W. 103rd St. Suite 300, Overland Park, KS 66214 | 2007-05-10 |
1063531812 | Rebecca N Gaughan | Specialist | 12906 Goddard Ave, Overland Park, KS 66213-3487 | 2007-03-29 |
1568589398 | Jo Ellen Fuentes | Specialist | 15238 Broadmoor St, Overland Park, KS 66223-3137 | 2007-03-25 |
Find all providers in OVERLAND PARK |
City | OVERLAND PARK |
Zip Code | 66214 |
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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.