Organization Active NPI

Moonlit Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Broken Arrow, OK
National Provider Identifier
1114863081
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MOONLIT MENTAL HEALTH LLC
Practice address
2249 W Washington St
Broken Arrow, OK 74012-6703
Phone
(918) 280-9679
Fax
(949) 988-2941
NPI assigned
Apr 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2026

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

Authorized official

Name
Mrs. Sarah Abigail Woody, PMHNP-BCNPI 1134984438
Title
Pmhnp-BC
Phone
(918) 960-5335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2249 W Washington St
Broken Arrow, OK 74012-6703

Mailing address

2249 W Washington St
Broken Arrow, OK 74012-6703
Phone (918) 960-5335

National Provider Directory

National Provider Directory

Locations

2249 W Washington St
Broken Arrow, OK 74012
Phone (918) 280-9679

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780185600000",
    "number": "1114863081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2249 W WASHINGTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740126703",
            "telephone_number": "918-960-5335",
            "fax_number": "949-988-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2249 W WASHINGTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740126703",
            "telephone_number": "918-280-9679",
            "fax_number": "949-988-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLIT MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-24",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A",
        "authorized_official_last_name": "WOODY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ABIGAIL",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "918-960-5335",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2026; 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.