Andrea Leigh Mooney

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

200542374RN Issued in OR

Practice address

5721 NE 138TH Ave
Portland, OR 97230-3495

Phone

(503) 261-2090

Fax

(503) 261-2040

NPI assigned

Feb 22, 2024

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

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": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1053177535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12006 SE BUSH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972662142",
            "telephone_number": "561-352-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 NE 138TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972303495",
            "telephone_number": "503-261-2090",
            "fax_number": "503-261-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "ANDREA",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "OR",
            "license": "200542374RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Moon, MA, CCC-SLP
• Sara Moon, DPT
• Sarah H Moon
• Savannah Rae Moon
• Shanna Moon, MSCN
• Ellen Mooney, DO
• Luna Michael Mooney
• Ryan Mooney
• William M Mooney, M.D.
• Moonlight Acupuncture LLC

• Infusion Therapy Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Infusion Therapy Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.