Jennifer Kay Mooney, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

476788 Issued in CA

Practice address

72 Carlsbad LN
Aliso Viejo, CA 92656-7029

Phone

(949) 246-8663

NPI assigned

Jul 8, 2024

Sex

Female

Sole proprietor

Yes

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": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1114763109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 CARLSBAD LN",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926567029",
            "telephone_number": "949-246-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 CARLSBAD LN",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926567029",
            "telephone_number": "949-246-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "JENNIFER",
        "middle_name": "KAY",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "476788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Ann Mills, FNP-C
• Evaggelos Gary Mitrevolis, MD
• Sonya Mitrovich, M.D.
• Saeideh Modjaby
• Ryann Monteiro
• Gustavo a. Moreno Omana, MS
• Maritza G Moreno
• Darla Morfin, MFT
• Maria Morovati
• Morris Hasson, MD PC

• Registered Nurse in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.