Misha Dawn Mooney, L.AC, DIPL. O.M

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

ACU-310 Issued in ID

Practice address

203 W Fort St
Boise, ID 83702-4528

Phone

(224) 388-0810

NPI assigned

Apr 13, 2015

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": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1164818480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 N 10TH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025422",
            "telephone_number": "224-388-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W FORT ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024528",
            "telephone_number": "224-388-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "MISHA",
        "middle_name": "DAWN",
        "credential": "L.AC, DIPL. O.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ID",
            "license": "ACU-310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Kathleen Moon, LCSW
• Stacy Jerald Moon, DDS
• Violet Leona Moon, CPM
• Carson A. Mooney, D.D.S.
• Darrel L Mooney, D.D.S. , F.A.C.P.
• Pamela Ellen Mooney
• Roseann T Mooney, D.M.D.
• Monty L Moore Johnson, LCPC
• Moore Wellness PLLC
• Alanna C Moore, PA-C

• Acupuncturist in Boise, ID
• Providers in Boise, ID by specialty
• Acupuncturist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.