Terri Harrison Moon, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

44387 Issued in CA

Practice address

360 Tesconi Cir Ste C
Santa Rosa, CA 95401-4677

Phone

(707) 709-8574

NPI assigned

Jul 25, 2017

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

Other identifiers 1

Other names 1

• Terri Lynn Harrison Former name

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": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1154844728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8471 LIBERTY AVE",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949284516",
            "telephone_number": "707-709-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 TESCONI CIR STE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014677",
            "telephone_number": "707-709-8574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8297 Old Redwood Hwy",
            "address_purpose": "LOCATION",
            "city": "Cotati",
            "state": "CA",
            "postal_code": "949315207",
            "country_code": "US",
            "telephone_number": "707-709-8574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "TERRI",
        "middle_name": "HARRISON",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "44387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MASSAGE THERAPY COUNCIL",
            "identifier": "44387",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "HARRISON",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charlene Phyllis Monticello, D.C.
• Diana Montinola Montes
• Michelle Lynn Moody, RASI
• Roxanne Marie Moon, RN
• Stella Moon
• Betty E Moonan
• Christopher Paul Mooneyhan
• Amanda Moore
• Blaine Moore II
• Brian S Moore, DC

• Massage Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.