TIFFANY GRAY MOON (NPI# 1467971325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467971325 |
| Entity Type | Individual |
| Full Name | TIFFANY GRAY MOON |
| Credential | WHNP-BC |
| Practice Address |
198 Nc Highway 45 N Plymouth NC 27962-9232 |
| Mailing Address |
201 Leigh St Edenton NC 27932-1657 |
| Practice Telephone | 2527913119 |
| Mailing Telephone | 2525624410 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2020-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
5009694 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518293489 | Tiffany Sun Moon | Anesthesiology | 5323 Harry Hines Blvd, Dallas, TX 75390-9068 | 2009-10-27 |
| Street Address |
198 NC HIGHWAY 45 N |
| City | PLYMOUTH |
| State | NC |
| Zip Code | 27962-9232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124010210 | Martin-tyrrell-washington District Health Department | Hospice Care, Community Based | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2005-08-16 |
| 1083972566 | Latoya Mone Harris-freeman | Counselor | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2012-05-02 |
| 1225334568 | Martin Tyrrell Washington District Health Dept | Clinic/Center | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2011-02-03 |
| 1700187754 | Angie Kay Jarrell | Licensed Practical Nurse | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2010-11-08 |
| 1992005250 | Tempie Phelps Lancaster | Registered Nurse | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2010-11-02 |
| 1508166885 | Katherine Winesett Davis | Registered Nurse | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2010-11-02 |
| 1497055743 | Kimberly Elliott Hough | Registered Nurse | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2010-11-02 |
| 1134431117 | Renea Swain Price | Nurse Practitioner | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2010-07-08 |
| 1518298223 | Sarah Mayfield Overholt | Dietitian, Registered | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2010-01-20 |
| 1487869707 | Anne Elizabeth Charles | Nurse Practitioner | 198 Nc Highway 45 N, Martin-tyrrell-washington District Health Department, Plymouth, NC 27962-9232 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144555095 | Melissa Pledger | Pharmacist | 11 Us Hwy 64 E, Plymouth, NC 27962 | 2009-10-09 |
| 1356569651 | East Carolina Foot and Ankle Specialists | Podiatrist | 958 Hwy 64 East, Plymouth, NC 27962 | 2007-04-23 |
| 1659413581 | Changing Hearts Instead of Losing Lives, Inc | Community/Behavioral Health | 713 Forest Road, Plymouth, NC 27962 | 2007-02-14 |
| 1205934171 | Womble Drug Store | Pharmacy | 454 Hwy 64 East, Plymouth, NC 27962 | 2006-09-21 |
| 1184720054 | June Elizabeth Woolard | Social Worker | 206 Waters Street, Plymouth, NC 27962 | 2006-09-16 |
| 1285736470 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 734 Us 64 East, Plymouth, NC 27962 | 2006-09-01 |
| 1376568550 | Viswanathan Swaminathan | Psychiatry & Neurology | 804.washington Street, Vidant Behaviour Health, Plymouthy, NC 27962 | 2006-07-12 |
| 1144253758 | Jean Louis Pare | Family Medicine | 1006 Us Hwy 64 East, Plymouth, NC 27962 | 2006-07-08 |
| 1619907227 | Chester Lee Conner | Dentist | 363 Highway 64 West, Plymouth, NC 27962 | 2006-07-03 |
| 1750336855 | Robert Lee Venable | General Practice | 1004 Hwy 64 East, Plymouth, NC 27962 | 2006-05-24 |
| Find all providers in zip 27962 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437706470 | Brittany Griffin | Nurse Practitioner | 123 Camelot Dr Ste 1, Plymouth, MA 02360-3038 | 2019-08-23 |
| 1083893705 | Cristen Jayne Singer | Nurse Practitioner | 15655 37th Ave N, Suite 100, Plymouth, MN 55446 | 2007-10-30 |
| 1831112085 | Amy Kristin Dziurman | Nurse Practitioner | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324202 | Sara C Moran | Nurse Practitioner | 1025 Morehead Medical Dr Ste 400, Charlotte, NC 28204-2967 | 2020-10-20 |
| 1710596622 | Hannah Shapiro Miller | Nurse Practitioner | 111 Hanestown Ct Ste 151, Winston Salem, NC 27103-1749 | 2020-07-27 |
| 1750927893 | Crystal Lynnette Minor | Nurse Practitioner | 1361 Camilla Dr, Greenville, NC 27834-9556 | 2019-11-25 |
| 1316502578 | Ashlye Thorpe | Nurse Practitioner | 3000 Maplewood Ave Ste 112, Winston Salem, NC 27103-4002 | 2019-05-03 |
| 1154889830 | Kerry Timmins Standley | Nurse Practitioner | 701 Doctors Dr Ste E, Kinston, NC 28501-1584 | 2019-03-12 |
| 1023575818 | Janet Cole | Nurse Practitioner | 916 Our St, Fayetteville, NC 28314-8475 | 2019-02-27 |
| 1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
| 1255838561 | Ellen Byars | Nurse Practitioner | 4420 Lake Boone Trl Ste 201, Raleigh, NC 27607-7505 | 2018-04-12 |
| 1972945228 | April Leann Olsen | Nurse Practitioner | 112 Perkins Dr, Suite 400, Chapel Hill, NC 27514-1785 | 2013-07-26 |
| 1841534609 | Sheree Michelle Blankenship | Nurse Practitioner | 300 S 3rd St Ste C, Smithfield, NC 27577-4575 | 2012-11-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TIFFANY GRAY 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.