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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | WASHINGTON STATE ARNP LICENSE | AP60972605 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
202 Pomfret St, Putnam, CT 062601833 | 8609637917 | |
54 Reynolds St, Danielson, CT 062392917 | 8607747501 |
Street Address |
3815 S OTHELLO ST STE 2 |
City | SEATTLE |
State | WA |
Zip Code | 98118-3510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902091879 | Uyenvy Vu Pham | Family Medicine | 3815 S Othello St Ste 2, Seattle, WA 98118-3510 | 2007-09-13 |
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 Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
Find all providers in SEATTLE |
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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.