Ashley Moon
Individual provider Active NPI Peer Specialist · Rustburg, VA
NPI 1124967658 · NPPES record last updated Mar 27, 2026
Key facts
- NPI
- 1124967658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 1432 Village Hwy
Rustburg, VA 24588-3805 - Phone
- (434) 238-4970
- NPI assigned
- Mar 27, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
1432 Village Hwy
Rustburg, VA 24588-3805
Mailing address
1432 Village Hwy
Rustburg, VA 24588-3805
Other providers in Rustburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.