LAURA MOON (NPI# 1265906226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265906226 |
Entity Type | Individual |
Full Name | LAURA MOON |
Credential | AGACNP |
Practice Address |
1021 Jamestown Blvd Ste 215 Watkinsville GA 30677-4176 |
Mailing Address |
Po Box 48089 Athens GA 30604-8089 |
Practice Telephone | 7063892273 |
Practice Fax Number | 7063892298 |
Mailing Telephone | 7063893740 |
Mailing Fax Number | 7063893951 |
Enumeration Date | 2019-01-14 |
Last Update Date | 2019-01-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
144320 | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326421496 | Laura Moon | Dentist | 520 Summit Ave, Hackensack, NJ 07601-1550 | 2015-07-07 |
1396091880 | Laura Moon | Counselor | 7301 Broadway Ext, Oklahoma City, OK 73116-9045 | 2012-08-02 |
1003066259 | Laura Diane Moon | Registered Nurse | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2008-09-24 |
Street Address |
1021 JAMESTOWN BLVD STE 215 |
City | WATKINSVILLE |
State | GA |
Zip Code | 30677-4176 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841299187 | St. Mary's Health Care System Inc | Home Health | 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677-4176 | 2005-07-19 |
1740817253 | Frances Hughes | Nurse Practitioner | 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677-4176 | 2020-03-25 |
1689215709 | Amanda Lou Newton | Social Worker | 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677-4176 | 2019-09-30 |
1053885871 | Sheryl Newberry | Nurse Practitioner | 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677-4176 | 2019-01-15 |
1932672300 | St. Mary's Medical Group, Inc. | Internal Medicine | 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677-4176 | 2019-01-08 |
1063752012 | Barbara Lynn Pruitt | Nurse Practitioner | 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677 | 2013-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669071478 | Brenda Gerai James | Behavior Technician | 1272 Virgil Langford Rd, Ste 101, Watkinsville, GA 30677 | 2020-10-22 |
1881292597 | Chloe Wise | Specialist/Technologist | 360 Caduceus Way Building 600 - Suite 101., Watkinsville, GA 30677 | 2020-10-14 |
1912518531 | Samuel S Kwon - Athens Dmd PC | Dentist | 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 | 2020-08-17 |
1972131977 | Hopebridge LLC | Behavioral Analyst | 1272 Virgil Langford Road, Suite 101, Watkinsville, GA 30677 | 2020-03-27 |
1306479068 | Meggan Brittany Reed | Counselor | 1550 Jennings Mill Rd, Suite 1700b, Watkinsville, GA 30677 | 2020-02-20 |
1699322040 | Christopher's Bridge, LLC | In Home Supportive Care | 3651 Mars Hill Rd, Suite 1600, Watkinsville, GA 30677 | 2019-08-21 |
1093209538 | Haley Bauguss | Physician Assistant | 1624 Mars Hill Road, Suite B, Watkinsville, GA 30677 | 2018-06-19 |
1134618317 | Amanda Burns Denson | Nurse Practitioner | 1181 Langford Drive, Building 300, Suite 104, Watkinsville, GA 30677 | 2018-05-03 |
1780105528 | Inspiring Hospice Partners of Georgia LLC | Hospice Care, Community Based | 1252 Virgil Langford Rd, Watkinsville, GA 30677 | 2017-07-01 |
1750753182 | Zachary Russell | Orthopaedic Surgery | 1305 Jennings Mill Road, Building 300, Suite 110, Watkinsville, GA 30677 | 2015-10-26 |
Find all providers in zip 30677 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053885871 | Sheryl Newberry | Nurse Practitioner | 1021 Jamestown Blvd Ste 215, Watkinsville, GA 30677-4176 | 2019-01-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154110 | Christina Danielle Palau Vaccari | Nurse Practitioner | 712 Pasley Ave Se, Atlanta, GA 30316-2158 | 2020-11-07 |
1427657113 | Cynthia Diane Prather | Nurse Practitioner | 3264 Lower Boston Rd, Thomasville, GA 31757-1311 | 2020-10-22 |
1932706728 | Alecia Ann Czarnecki | Nurse Practitioner | 6240 Crooked Creek Dr, Rex, GA 30273-5006 | 2020-10-05 |
1801401112 | Cotenna D. Clark | Nurse Practitioner | 1857 Cameo Ct, Tucker, GA 30084-7002 | 2020-09-14 |
1487264370 | Helen Young Yates | Nurse Practitioner | 40 Red Rock Ct Ne, Ludowici, GA 31316-6280 | 2020-08-05 |
1982214334 | Jasmine Alecia Henderson | Nurse Practitioner | 52 Roseberry Cir, Port Wentworth, GA 31407-5612 | 2020-07-31 |
1275142994 | Theresia Richardson | Nurse Practitioner | 2033 Buford Hwy Ste 109, Buford, GA 30518-8802 | 2020-07-28 |
1063021277 | Elsa Duncan Duncan | Nurse Practitioner | 1822 E Gwinnett St, Savannah, GA 31404-1853 | 2020-07-24 |
1154941946 | Joy P Wharton | Nurse Practitioner | 182 Silver Arrow Cir, Austell, GA 30168-7490 | 2020-04-21 |
1235769985 | Michelle Brack | Nurse Practitioner | 502 Hall Rd, Thomasville, GA 31757-8105 | 2020-01-22 |
Find all providers with the same taxonomy |
City | WATKINSVILLE |
Zip Code | 30677 |
Please comment or provide details below to improve the information on LAURA 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.