CATHERINE ANN MOONAN


Address: 3815 S Othello St Ste 2, Seattle, WA 98118-3510
Phone: 2067883700

CATHERINE ANN MOONAN (NPI# 1316454234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316454234
Entity Type Individual
Full Name CATHERINE ANN MOONAN
Credential FNP-C
Practice Address 3815 S Othello St Ste 2
Seattle
WA 98118-3510
Mailing Address 720 8th Ave S Ste 2
Seattle
WA 98104-3032
Practice Telephone 2067883700
Mailing Telephone 2067883700
Enumeration Date 2017-12-30
Last Update Date 2020-01-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP60972605 WA Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
147769 CT Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
APRN01740 RI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA WASHINGTON STATE ARNP LICENSE AP60972605 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
202 Pomfret St, Putnam, CT 062601833 8609637917
54 Reynolds St, Danielson, CT 062392917 8607747501

Office Location

Street Address 3815 S OTHELLO ST STE 2
City SEATTLE
State WA
Zip Code 98118-3510

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902091879 Uyenvy Vu Pham Family Medicine 3815 S Othello St Ste 2, Seattle, WA 98118-3510 2007-09-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386102812 Psjh Pllc Pharmacy 3828 S Graham St Unit B, Seattle, WA 98118 2019-03-04
1912463670 Hillman City Medical Pllc Family Medicine 3828 S Graham St Suite A, Seattle, WA 98118 2019-02-18
1992287650 Valentina Komarova Massage Therapist 4321 S Webster St Unit D, Seattle, WA 98118 2018-08-29
1750884672 Ka Hei Cheuk Behavior Technician 3815 S Othello Street, Suite 100 Box 361, Seattle, WA 98118 2018-03-16
1285150904 Crystal N White Counselor 3815 S Othello St Suite 100 #317, Seattle, WA 98118 2017-08-15
1346775327 Anya Lisha Andre Student in an Organized Health Care Education/Training Program 9245 Rainier Avenue South, Seattle, WA 98118 2017-04-27
1710334552 Emeka Titus Okoye Durable Medical Equipment & Medical Supplies 4529 S. Henderson Street, #7, Seattle, WA 98118 2016-05-23
1104202191 Elizabeth Kittay Acupuncturist 5224 Wilson Avenue South, Suite 202, Seattle, WA 98118 2015-08-03
1194129601 Heather Vargas-lyon Massage Therapist 8338 Wolcott Ave S, Seattle, WA 98118 2014-10-13
1487069878 Tamikia Jones Massage Therapist 9260 57th Ave S, Seattle, WA 98118 2014-06-25
Find all providers in zip 98118

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881291003 Allison Walzer Nurse Practitioner 526 Yale Ave N Apt 402, Seattle, WA 98109-5544 2020-10-01
1841800521 Lauren Levesque Nurse Practitioner 2744 Ne 54th St Unit B, Seattle, WA 98105-3146 2020-08-06
1225647381 Donica Liwanag Badua Nurse Practitioner 819 Virginia St Unit 2605, Seattle, WA 98101-4430 2020-07-24
1326664145 William Silas Nichols Nurse Practitioner 1760 Nw 56th St Apt 211, Seattle, WA 98107-5299 2020-06-17
1306485370 Samuelle Genevievre Inevil Nurse Practitioner 4455 Interlake Ave N Unit 524, Seattle, WA 98103-7592 2019-12-23
1841838422 Rachel Sasinowski Herrmann Nurse Practitioner 1505 Westlake Ave N Ste 400, Seattle, WA 98109-6211 2019-12-14
1265085542 Hyunjoo Hannah Bae Nurse Practitioner 1818 Harvard Ave Apt 104, Seattle, WA 98122-2289 2019-07-16
1699247874 Brien Claes Barrett Nurse Practitioner 10315 Stone Ave N, Seattle, WA 98133-9419 2018-12-28
1730662057 Heather Renee Grods Nurse Practitioner 4409 California Ave Sw Ste 100, Seattle, WA 98116-4916 2018-09-12
1639651086 Amanda Matthews Nurse Practitioner 9000 Holman Rd Nw Ste A1, Seattle, WA 98117-3418 2018-09-02
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Competitor

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City SEATTLE
Zip Code 98118

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Dataset Information

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.

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