Individual provider Active NPI

Rasheena Tiara Moonie, NP

  • Women's Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1174915037
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1182759 Issued in TX
Practice address
5750 Pineland Dr
Dallas, TX 75231-5300
Phone
(214) 221-0855
NPI assigned
Mar 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 5007495 NC
Women's Health Nurse Practitioner 363LW0102X 1182759 TX Primary

Addresses

Primary practice location

5750 Pineland Dr
Dallas, TX 75231-5300

Mailing address

1201 W Peachtree St NW Ste 2625
Atlanta, GA 30309-3499
Phone (404) 747-8511

Other names 1

  • Rasheena Tiara Parker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230612002423 GA Practitioner - Nurse Practitioner 6709106750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5007495NCMDWomen's Health Nurse Practitioner
1182759TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Ministries, Inc. Past Accepting new patients
Healing Hands Ministries Inc. Past Accepting new patients
Healing Hands Ministries Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rasheenaparker@mahec.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1174915037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W PEACHTREE ST NW STE 2625",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093499",
            "telephone_number": "404-747-8511",
            "fax_number": "404-393-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 PINELAND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315300",
            "telephone_number": "214-221-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONIE",
        "first_name": "RASHEENA",
        "middle_name": "TIARA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "5007495",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "1182759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RASHEENA",
            "last_name": "PARKER",
            "middle_name": "TIARA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.