Angela Elizabeth Moening, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126002873 Issued in VA

Practice address

4251 Powhatan Ave
Norfolk, VA 23508-2225

Phone

(419) 204-4187

NPI assigned

Dec 7, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1023614971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 REDGATE AVE APT 17",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071633",
            "telephone_number": "419-204-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 POWHATAN AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082225",
            "telephone_number": "419-204-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOENING",
        "first_name": "ANGELA",
        "middle_name": "ELIZABETH",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS",
            "identifier": "0126002873",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Grace Moberg, MD
• Keyana Mobley
• Michelle H. Mobley, NP
• Lorinnda Mock
• Jeffry L. Moe, PH.D.
• Catherine Rose Moffitt
• Aliyah Rayhanah Mohammed, MD
• Soha Mohammed, MD
• Kompal Mohan, M.B.B.S
• Roberta Mohler, LCSW

• Athletic Trainer in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.