SALLY E MOON (NPI# 1790390516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790390516 |
| Entity Type | Individual |
| Full Name | SALLY E MOON |
| Practice Address |
10216 Kensington Shore Dr Orlando FL 32827-7306 |
| Practice Telephone | 8136794458 |
| Mailing Telephone | 8136794458 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA1721 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10216 KENSINGTON SHORE DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32827-7306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710515408 | Guru Nandha Raja Chinnaraj | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Boulevard, Orlando, FL 32827 | 2020-03-30 |
| 1669030037 | Makris Dental LLC | Dentist | 13250 Narcoossee Road, Orlando, FL 32827 | 2019-05-31 |
| 1174016265 | Heather Marinello | Audiologist | Orlando Va Medical Center- Audiology Department, 13800 Veterans Way, Orlando, FL 32827 | 2018-06-13 |
| 1316445471 | Adventist Health System/sunbelt Inc. | Clinic/Center | 9637 Lake Nona Village Pl., Orlando, FL 32827 | 2018-01-24 |
| 1578077335 | Seyla Counseling Inc | Psychologist | 6900 Tanrsrock Lake Blvd Suite 400, Orlando, FL 32827 | 2017-11-30 |
| 1013426188 | Valerie Anne Farrell | Social Worker | 13800 Veteran's Way, Bldg 9, Orlando, FL 32827 | 2017-09-21 |
| 1568981256 | Aneal Ansar Ahmed | Pharmacist | 6550 Sanger Road, University of Florida, Orlando, FL 32827 | 2017-09-13 |
| 1083132575 | Lindey Christine Bartolucci | Psychologist | 13800 Veterans Way Fl 2, Orlando, FL 32827 | 2017-09-05 |
| 1396299087 | Leah Sheehey-hampton | Counselor | 600 Tavistock Lakes Blvd, Suite 400, Orlando, FL 32827 | 2016-08-10 |
| 1972919272 | Scott Sakowitz | Dentist | 9161 Narcoossee Rd Ste 105b, Orlando, FL 32827 | 2014-07-08 |
| Find all providers in zip 32827 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768049 | Desiree Monique Bethelmie | Massage Therapist | 1608 S Crystal Lake Dr Apt 54, Orlando, FL 32806-3358 | 2020-10-26 |
| 1467051599 | Masae Shimomoto | Massage Therapist | 7422 Radiant Cir, Orlando, FL 32810-3136 | 2020-10-20 |
| 1760080352 | Amanda Lea Gill | Massage Therapist | 3829 Albright Ln, Orlando, FL 32828-6468 | 2020-10-15 |
| 1568060788 | Enoch Leacock | Massage Therapist | 6900 S Orange Blossom Trl Ste 304, Orlando, FL 32809-5736 | 2020-10-09 |
| 1073110466 | Brenden Kuhn | Massage Therapist | 1324 Lake Baldwin Ln Apt B, Orlando, FL 32814-6665 | 2020-10-08 |
| 1013514462 | Sylvia Michelle Burch | Massage Therapist | 1800 Curry Ford Rd, Orlando, FL 32806-2416 | 2020-10-07 |
| 1154928083 | Angelica Inez Jusino | Massage Therapist | 514 Hillcrest St Apt B, Orlando, FL 32803-4505 | 2020-10-05 |
| 1255948097 | Aubrey F Soloven | Massage Therapist | 5635 Marinell Dr, Orlando, FL 32809-4245 | 2020-09-25 |
| 1265049373 | Jessy Kimbrell | Massage Therapist | 5967 Folkstone Ln, Orlando, FL 32822-9420 | 2020-09-23 |
| 1265046197 | Georgiana Dimulescu | Massage Therapist | 3347 Monika Cir, Orlando, FL 32812-7360 | 2020-09-08 |
| Find all providers in ORLANDO | ||||
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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.