STACEY MOON (NPI# 1184225096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184225096 |
| Entity Type | Individual |
| Full Name | STACEY MOON |
| Credential | APRN, MNSC, AGACNPBC |
| Practice Address |
3500 Springhill Dr Ste 200a North Little Rock AR 72117-2948 |
| Practice Telephone | 5014139290 |
| Mailing Telephone | 5014139290 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
124009 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881093300 | Stacey Hyun Joo Moon | Dentist | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2014-08-20 |
| Street Address |
3500 SPRINGHILL DR STE 200A |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72117-2948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003853862 | Samuel David Register IIi | Anesthesiology | 3500 Springhill Dr Ste 200a, North Little Rock, AR 72117-2948 | 2006-06-01 |
| 1568901163 | Arkansas Health Group | Internal Medicine | 3500 Springhill Dr Ste 200a, North Little Rock, AR 72117-2948 | 2017-02-15 |
| 1992124291 | Vinisha Reddy Kota | Internal Medicine | 3500 Springhill Dr Ste 200a, Suite 200 A, North Little Rock, AR 72117-2948 | 2014-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1306475470 | Amir Amidi | Student in an Organized Health Care Education/Training Program | Baptist Health Family Medicine Residency Clinic, 3201 Springhill Dr., Suite 300, North Little Rock, AR 72117 | 2020-04-02 |
| 1699238147 | Achmed Munir Turay | Student in an Organized Health Care Education/Training Program | Baptist Health Medical Center- North Little Rock, 3333 Springhill Drive, Little Rock, AR 72117 | 2019-04-11 |
| 1548712227 | Arkansas Outpatient Surgery Center, LLC | Clinic/Center | 4331 W. 43rd, North Little Rock, AR 72117 | 2016-10-28 |
| 1982053286 | Amy Rainey | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117 | 2016-06-07 |
| 1558764159 | Premier Pharmacy Care LLC | Pharmacy | 760 Michaela Dr., North Little Rock, AR 72117 | 2014-09-27 |
| 1225458813 | Jennifer Lynn Duroy | Obstetrics & Gynecology | 3343 Springhill Dr Ste 3010, North Little Rock, AR 72117 | 2014-04-22 |
| 1285053686 | Jonathan Nicholas Chang | Obstetrics & Gynecology | 3343 Springhill Dr Ste 1005, North Little Rock, AR 72117 | 2014-04-14 |
| 1760820575 | Stefan Ceru Hemmings | Internal Medicine | 3401 Springhill Dr Ste 325, North Little Rock, AR 72117 | 2013-06-13 |
| 1104260629 | Pain & Ortho Products, LLC | Durable Medical Equipment & Medical Supplies | 4628 East 43rd, N Little Rock, AR 72117 | 2013-04-26 |
| Find all providers in zip 72117 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629518758 | Monzelle Obrian Davis | Nurse Practitioner | 11119 Paul Eells Dr Apt 106, North Little Rock, AR 72113-7532 | 2017-03-08 |
| 1710242078 | Jennifer Victoria Shook | Nurse Practitioner | 2200 Fort Roots Dr # 3l, North Little Rock, AR 72114-1709 | 2012-07-11 |
| 1528599206 | Amy Holland | Nurse Practitioner | 3333 Springhill Dr, North Little Rock, AR 72117-2922 | 2017-03-23 |
| 1932568128 | Jannette Marie Brickey | Nurse Practitioner | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2016-02-16 |
| 1942608336 | Danya F Robertson | Nurse Practitioner | 4000 Richards Rd Ste A, North Little Rock, AR 72117-2939 | 2014-12-17 |
| 1184954034 | Sandee Miller Sealy | Nurse Practitioner | 1021 E. Washington Avenue, North Little Rock, AR 72115 | 2009-12-28 |
| 1386668697 | Bill N. Summers | Nurse Practitioner | 2200 Fort Roots Dr, Building 170, Ward 2d, Room 127, North Little Rock, AR 72114-1709 | 2006-07-27 |
| 1497702096 | Melissa D Pruitt | Nurse Practitioner | 3333 Springhill Dr, North Little Rock, AR 72117 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538285 | Matthew Barnett | Nurse Practitioner | 63 Dalton Dr, Cave City, AR 72521-9308 | 2020-11-05 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1528691912 | Rachel Wetherington | Nurse Practitioner | 9501 Baptist Health Dr Ste 500, Little Rock, AR 72205-6225 | 2020-02-13 |
| 1932749561 | Jennifer Breathitt | Nurse Practitioner | 4542 W Wedge Dr, Fayetteville, AR 72704-7532 | 2020-01-11 |
| 1124666482 | Martha Lynn Brawner | Nurse Practitioner | 2882 N Bermuda Ave, Fayetteville, AR 72704-6034 | 2019-12-18 |
| 1366089740 | Katelyn Layne Ledbetter | Nurse Practitioner | 8 Summerwood Dr, Benton, AR 72019-1925 | 2019-12-05 |
| 1588213771 | Wendy Joanne Hart | Nurse Practitioner | 601 W Maple Ave Ste 703, Springdale, AR 72764-5378 | 2019-09-10 |
| 1235796145 | Nickey Noid | Nurse Practitioner | 1709 Cedar Dr, Bryant, AR 72019-6378 | 2019-05-26 |
| 1083175848 | Lisa Renee Bridges | Nurse Practitioner | 423 Magnolia St, Marion, AR 72364-2811 | 2019-03-26 |
| 1922566785 | Amanda Mcclure | Nurse Practitioner | 6801 Rogers Ave Fl 3, Fort Smith, AR 72903-4067 | 2019-03-11 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72117 |
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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.