MARY TAGISH MOON (NPI# 1063780484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063780484 |
| Entity Type | Individual |
| Full Name | MARY TAGISH MOON |
| Practice Address |
1123 3rd St Sw Albuquerque NM 87102-4134 |
| Practice Telephone | 5052389945 |
| Mailing Telephone | 5052389945 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374J00000X | Doula | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144784745 | Mary Michelle Moon | Peer Specialist | 4728 Nw 23rd St Apt 4, Oklahoma City, OK 73127-2191 | 2019-01-28 |
| 1124048202 | Mary Yusook Moon | Family Medicine | 23512 Madero, Mission Viejo, CA 92691-2743 | 2006-07-20 |
| Street Address |
1123 3RD ST SW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-4134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 374J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Doula |
| Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407309487 | Danail Jesfjeld | Doula | 5172 Coors Blvd Sw, Albuquerque, NM 87121-6263 | 2016-07-26 |
| 1306279799 | Mj Vargas Contreras | Doula | 5800 Truchas Dr Ne Apt 215, Albuquerque, NM 87109-3876 | 2013-08-20 |
| 1306124201 | Kim Racette | Doula | 5304 Palo Duro Ave Ne, Albuquerque, NM 87110-1277 | 2011-07-26 |
| 1326335621 | Camella K Smith | Doula | 501 Figueroa St Ne, Albuquerque, NM 87123-1531 | 2011-07-07 |
| 1356648620 | Elizabeth A Pohl | Doula | 13804 Spirit Trail Pl Ne, Albuquerque, NM 87112-6641 | 2011-02-22 |
| 1154625267 | Debbie Ann Baxter | Doula | 9677 Eagle Ranch Rd Nw, Apt. 1828, Albuquerque, NM 87114-5854 | 2011-01-04 |
| 1063741650 | Robin W. Younger | Doula | 4116 Avenida La Resolana Ne, Albuquerque, NM 87110-6161 | 2009-12-10 |
| 1740711654 | Peaceful Loving Doula Service | Doula | 5172 Coors Blvd Sw, Albuquerque, NM 87121-6263 | 2017-03-22 |
| 1124320197 | The Doula Tree Network | Doula | 3500 Comanche Rd Ne, Suite A3, Albuquerque, NM 87107-4546 | 2010-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750913257 | Rebecca Archuleta | Doula | 1435 Country Club Cir, Las Cruces, NM 88001-1553 | 2020-02-12 |
| 1144864430 | Stephanie Mccreary | Doula | 11a Walnut Dr, Espanola, NM 87532-8156 | 2019-10-30 |
| 1780089151 | Precious Memoriesdoula | Doula | 1231 Desert Paintbrush Loop Ne, Rio Rancho, NM 87144-2608 | 2014-10-28 |
| 1861827677 | Carolyn Susan Hecken | Doula | 2622 Tres Lagos, Alamogordo, NM 88310-7758 | 2013-09-11 |
| 1902200553 | Tricia Salazar | Doula | 1210 N Main St, Las Cruces, NM 88001-1102 | 2014-10-10 |
| 1356616650 | Deborah K Ronan | Doula | 19 Ridge Rd, Santa Fe, NM 87505-4549 | 2012-03-20 |
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on MARY TAGISH 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.