GINA RENIA MOONE


Address: 4300 W Main St Ste 300, Dothan, AL 36305-1313
Phone: 3344460076

GINA RENIA MOONE (NPI# 1457806754) 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) 1457806754
Entity Type Individual
Full Name GINA RENIA MOONE
Credential CRNP
Practice Address 4300 W Main St Ste 300
Dothan
AL 36305-1313
Mailing Address 1414 Elba Hwy
Troy
AL 36079-6020
Practice Telephone 3344460076
Practice Fax Number 3344460203
Mailing Telephone 3346706726
Mailing Fax Number 3346706731
Enumeration Date 2016-08-17
Last Update Date 2018-03-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
1-069998 AL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4300 W MAIN ST STE 300
City DOTHAN
State AL
Zip Code 36305-1313

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568430056 Joseph Harrison Sewell Family Medicine 4300 W Main St Ste 300, Dothan, AL 36305-1313 2006-03-09
1194087593 Southeast Alabama Rural Health Associates Clinic/Center 4300 W Main St Ste 300, Dothan, AL 36305-1313 2012-06-12
1225346265 Janet Lynn Ellis Social Worker 4300 W Main St Ste 300, Dothan, AL 36305-1313 2010-09-23
1043251036 James R Staheli Family Medicine 4300 W Main St Ste 300, Dothan, AL 36305-1313 2006-06-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962059998 Samantha Nicole Bolden Counselor 1001 John D. Odom Road, Dothan, AL 36305 2019-08-23
1578968780 Aba Therapy & Consulting Services Behavioral Analyst 3124 West Main Street, Suite 9, Dothan, AL 36305 2014-10-30
1306247796 Tracey Lynn Carter Registered Nurse 4300 W Main St Ste 102, Dothan, AL 36305 2014-09-04
1760829881 Michael Brent Nance Nurse Practitioner 4370 West Main Street, Dothan, AL 36305 2013-05-30
1033495221 Professional Resource Management of Wiregrass, LLC Psychiatry & Neurology 2812 Hartford Hwy Ste 1, Dothan, AL 36305 2011-11-01
1649555483 Ashley Dawn Morrow Pharmacist 2940 West Main Street, Dothan, AL 36305 2011-10-12
1740599273 Aline M Mays-easley Counselor 309 Ameris Ave, Dothan, AL 36305 2010-10-01
1356671408 Kimberly Jones Rogers Clinical Neuropsychologist 200 Grove Park Ln Ste 212, Dothan, AL 36305 2010-01-12
1639347818 Southeast Alabama Counseling & Behavioral Specialist Residential Treatment Facility, Emotionally Disturbed Children 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 2008-02-11
1770705667 Michala Long Pharmacist 3850 West Main St, Dothan, AL 36305 2007-05-02
Find all providers in zip 36305

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
1295362408 Stephen M Pendergraft Nurse Practitioner 4740 W Main St, Dothan, AL 36305-9423 2020-03-26
1689205767 Sassy Lashawn Sylvester Nurse Practitioner 410 Ridgeland Rd, Dothan, AL 36301-1117 2020-01-28
1700344488 Gregory Keith Tice Nurse Practitioner 1118 Ross Clark Cir Ste 704, Dothan, AL 36301-3030 2019-03-12
1144732520 Kasey Duffie Chance Nurse Practitioner 211 Brushfire Dr, Dothan, AL 36305-7069 2017-10-25
1306364062 Janeetra Janiece Coachman Nurse Practitioner 9 Trillium Cir Apt 1401, Dothan, AL 36301-7653 2017-09-01
1265954010 Melanie Jo Ellison Nurse Practitioner 973 Dunn Rd, Dothan, AL 36303-1056 2017-07-13
1679012629 Elva Calderon Nurse Practitioner 1736 E Main St Ste 100, Dothan, AL 36301-3040 2017-02-22
1649610395 Kelli Saage Anderson Nurse Practitioner 1146 Ross Clark Cir, Dothan, AL 36301-3022 2013-06-26
1902040090 Cindy Ruth Hemendinger Nurse Practitioner 3124 Ross Clark Cir, Dothan, AL 36303-3038 2009-04-21
1770737249 Kelley E Blake Nurse Practitioner 4300 W Main St Ste 45, Dothan, AL 36305-1317 2008-11-11
Find all providers in DOTHAN

Competitor

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City DOTHAN
Zip Code 36305

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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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