MRS. JENNIFER RACHELLE MOON (NPI# 1245578053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245578053 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER RACHELLE MOON |
| Other Name | MS. JENNIFER RACHELLE JONES |
| Credential | FNP-BC |
| Practice Address |
6700 Wisconsin Ave Bethesda MD 20815-5302 |
| Mailing Address |
9950 Royal Commerce Pl Largo MD 20774-1163 |
| Practice Telephone | 8663892727 |
| Mailing Telephone | 3012338105 |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2014-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R150711 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN68347 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083233811 | Jennifer Moon | Pharmacist | 501 S New Hampshire Ave Apt 205, Los Angeles, CA 90020-1981 | 2020-04-12 |
| 1528590791 | Jennifer Moon | Student in an Organized Health Care Education/Training Program | 2308 128th Ave Se, Bellevue, WA 98005-4238 | 2017-03-28 |
| 1568789949 | Jennifer Pratt Moon | Pharmacist | 2323 E Colorado Blvd, Spearfish, SD 57783-3203 | 2010-04-26 |
| 1144492927 | Jennifer Moon | Psychologist | 2421 Neander Lane, Safety Harbor, FL 34695 | 2008-04-01 |
| 1609988948 | Jennifer H Moon | Clinical Neuropsychologist | 2542 E Towner St, Tucson, AZ 85716-2117 | 2006-08-31 |
| 1184231060 | Jennifer P Moon | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-09-25 |
| 1942831243 | Jennifer Moon | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2020-01-27 |
| 1881150746 | Jennifer Moon | Nurse Practitioner | 1009 N Thompson Ln, Murfreesboro, TN 37129-4351 | 2019-02-15 |
| 1821512294 | Jennifer Moon | Optometrist | 5315 Windward Pkwy, Alpharetta, GA 30004-8915 | 2017-07-27 |
| 1073051736 | Jennifer Moon | Nurse Practitioner | 703 Se 1st Ave, Canby, OR 97013-3849 | 2017-02-02 |
| Street Address |
6700 WISCONSIN AVE |
| City | BETHESDA |
| State | MD |
| Zip Code | 20815-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265507107 | Anna Maria Sam | Nurse Practitioner | 6700 Wisconsin Ave, Minuteclinic LLC, Bethesda, MD 20815-5302 | 2006-11-22 |
| 1932514692 | Dugkeun Lee | Pharmacist | 6700 Wisconsin Ave, Bethesda, MD 20815-5302 | 2014-06-20 |
| 1316288699 | Wanda C Caesar | Nurse Practitioner | 6700 Wisconsin Ave, Bethesda, MD 20815-5302 | 2013-03-11 |
| 1851589048 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6700 Wisconsin Ave, Bethesda, MD 20815-5302 | 2007-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456454 | Sarah Trandel-korenchuk | Nurse Practitioner | 4622 Norwood Drive, Chevy Chase, MD 20815 | 2020-08-04 |
| 1730709254 | Lorelyn Pierola | Physical Therapist | 8700 Jones Mill Road, Chevy Chase, MD 20815 | 2020-04-24 |
| 1194292391 | Bradley T Nguyen | Student in an Organized Health Care Education/Training Program | 5454 Wisconsic Ave, Bethesda, MD 20815 | 2018-10-26 |
| 1053897652 | Seth Parker Worthing | Orthopaedic Surgery | 5454 Wisconsin Ave Ste 1000, Chevy Chase, MD 20815 | 2018-07-17 |
| 1104310382 | Brendan F. Burke, M.d., L.L.C. | Obstetrics & Gynecology | 5530 Wisconsin Ave Ste 850, Chevy Chase, MD 20815 | 2018-06-20 |
| 1740778240 | Miriam Brazer | Student in an Organized Health Care Education/Training Program | 4810 Bradley Blvd, Chevy Chase, MD 20815 | 2018-04-30 |
| 1285131201 | Juventino Aceves | Speech-Language Pathologist | 5530 Wisconsin, Chevy Chase, MD 20815 | 2018-04-06 |
| 1386167351 | Seth A. Greenblatt | Social Worker | 2 Wisconsin Circle, Suite 700, Your Health Concierge, Inc, Bethesda, MD 20815 | 2017-07-21 |
| 1932636990 | Katelyn Marie Engbert | Registered Nurse | 4717 Morgan Dr, Chevy Chase, MD 20815 | 2017-05-20 |
| 1043752512 | Erin Leeland Nes | Marriage & Family Therapist | 4405 East West Highway Suite 408, Bethesda, MD 20815 | 2016-11-15 |
| Find all providers in zip 20815 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1407454671 | Yasamin Baghaipour | Nurse Practitioner | 10115 Parkwood Dr, Bethesda, MD 20814-4033 | 2020-10-11 |
| 1174132682 | Touko Leuga | Nurse Practitioner | 6410 Rockledge Dr Ste 110, Bethesda, MD 20817-1825 | 2020-07-30 |
| 1073170346 | Tonya Lynn Jenkins | Nurse Practitioner | 10 Center Drive 3ne, Bethesda, MD 20892-0001 | 2019-05-22 |
| 1366909848 | Crystal Flowers | Nurse Practitioner | Bg 10-crc Rm 1-3750, 10 Center Dr, Bethesda, MD 20814 | 2019-02-21 |
| 1043718653 | Mahsa Motevalli | Nurse Practitioner | 8600 Old Georgetown Rd Fl 6, Bethesda, MD 20814 | 2018-01-29 |
| 1558806778 | Keshia C Thompson | Nurse Practitioner | National Institutes of Health Building 10, Room 2c145, Bethesda, MD 20892-1662 | 2016-12-23 |
| 1083160402 | Britanny Brooke Solarz | Nurse Practitioner | 10 Center Drive Building 10 2b46, Bethesda, MD 20892-0001 | 2016-08-26 |
| 1710333281 | Deirdre Fionna Angelastro | Nurse Practitioner | 4938 Saint Elmo Ave, Bethesda, MD 20814-6008 | 2016-05-13 |
| 1902262447 | Relia Atienza | Nurse Practitioner | National Institute of Br, 10 Center Drive, Bethesda, MD 20892-0001 | 2016-01-13 |
| Find all providers in BETHESDA | ||||
Please comment or provide details below to improve the information on MRS. JENNIFER RACHELLE 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.