SANDRA MOON (NPI# 1649893322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649893322 |
| Entity Type | Individual |
| Full Name | SANDRA MOON |
| Practice Address |
2296 Torch Lake Dr Forney TX 75126-0877 |
| Practice Telephone | 4138471561 |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 228169 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689059016 | Sandra Moon | Nurse Practitioner | 3810 Wilshire Blvd Apt 2211, #2211, Los Angeles, CA 90010-3230 | 2015-07-27 |
| 1063763365 | Sandra Moon | Nurse Anesthetist, Certified Registered | 1 Gustave L Levy Pl, Anesthesiology - Box 1010, New York, NY 10029-6500 | 2012-09-26 |
| 1093883860 | Sandra Moon | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-12-01 |
| Street Address |
2296 TORCH LAKE DR |
| City | FORNEY |
| State | TX |
| Zip Code | 75126-0877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215339 | Stuart Frey | Pharmacist | 802 East Us Hwy 80, Forney, Forney, TEXAS 75126 | 2020-11-03 |
| 1689209975 | Steffani Wooley | Counselor | 106 S. Bois D'arc St., Forney, TX 75126 | 2020-03-06 |
| 1578123402 | Carrie Viola Phillips | Clinical Nurse Specialist | 9478 Homestead Ln., Forney, TX 75126 | 2019-06-13 |
| 1801451901 | Interventional Partners LLC | Podiatrist | 124 East Hwy 80, Ste. 104, Forney, TX 75126 | 2019-05-03 |
| 1881164937 | Precision Sports Physical Therapy | Physical Therapist | 757 E Highway 80, Suite 160, Forney, TX 75126 | 2018-12-03 |
| 1336621374 | Grace Nkolika Ilonuba | Registered Nurse | 1518 Wheatley Way, Forney, TX 75126 | 2018-09-06 |
| 1497235691 | Tanya Jean Antonisse-irwin | Speech-Language Pathologist | 1023 Kimbro Drive, Forney, TX 75126 | 2018-08-16 |
| 1912490491 | Rachel Caroline Casebolt | Counselor | 112 S Bois D Arc St, Forney, TX 75126 | 2018-06-11 |
| 1730676735 | Forney Mirror Lake Dentistry Pllc | Clinic/Center | 845 N. Fm 548, Suite 150, Forney, TX 75126 | 2018-04-16 |
| 1316449366 | Don A Hunt-ford Jr. | Day Training, Developmentally Disabled Services | 2016 Angel Way, Forney, TN 75126 | 2018-03-06 |
| Find all providers in zip 75126 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871115980 | Pamela Watson | Licensed Practical Nurse | 2036 Fairview Dr, Forney, TX 75126-6576 | 2020-05-12 |
| 1548760507 | Adelaide Ofori | Licensed Practical Nurse | 1150 Leafy Glade Rd, Forney, TX 75126-6364 | 2018-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234500 | Ka'leria Cunningham | Licensed Practical Nurse | 442 Carroll Ave, Wake Village, TX 75501-5733 | 2020-10-27 |
| 1073113387 | Tiffiany Hansen | Licensed Practical Nurse | 163 County Road 1856, Chico, TX 76431-3429 | 2020-10-27 |
| 1538769740 | Kerri Kathleen Benavides | Licensed Practical Nurse | 2424 Wilcrest Dr Ste 100, Houston, TX 77042-2753 | 2020-10-27 |
| 1144828740 | Gabriella M Carrillo | Licensed Practical Nurse | 1712 E 13th St, Monahans, TX 79756-2129 | 2020-10-15 |
| 1366040198 | Michelle Merritt Gary | Licensed Practical Nurse | 118 Merritt Ln, Hemphill, TX 75948-3137 | 2020-10-14 |
| 1508464652 | Ariana Wilson | Licensed Practical Nurse | 1125 Elm St, Abilene, TX 79602-3718 | 2020-10-12 |
| 1962009431 | Victoria A Jernigan | Licensed Practical Nurse | 250 County Road 4311, Hondo, TX 78861-5035 | 2020-10-07 |
| 1558968271 | Dana Marie Griffin | Licensed Practical Nurse | 9747 Harbor Mist Ln, Converse, TX 78109-1836 | 2020-10-06 |
| 1184221772 | Coretta Renee Thomas | Licensed Practical Nurse | 1204 G W Jackson Ave, Corsicana, TX 75110-5604 | 2020-10-06 |
| 1194322032 | Flor Karime Jurado | Licensed Practical Nurse | 1410 Cowan Street, Pecos, TX 79772 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
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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.