Erin Marie Mooers, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP61243540 Issued in WA

Practice address

1700 Hudson St Ste 100
Longview, WA 98632-2931

Phone

(360) 504-0122

Fax

(360) 859-1354

NPI assigned

Nov 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Eden Hospice at Portland, LLC

  • Community Based Hospice Care Agency
  • Oregon City, OR
  • NPI 1902579840
  NPD

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1184498925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HUDSON ST STE 100",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322931",
            "telephone_number": "360-504-0122",
            "fax_number": "360-859-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HUDSON ST STE 100",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322931",
            "telephone_number": "360-504-0122",
            "fax_number": "360-859-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOERS",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201330085LPN",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP61243540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaimie Allene Mogush, ARNP
• Hilal Momand
• Winnie Monohan, MS, CGC
• Jonathan Kyrtis Montano, OTR
• Monticello Counseling Services PS
• Michael Moon
• Amanda C Moore
• Morrill T Moorehead, MD
• Sophia Yolanda Moormeier, LMP
• Paul J Morauske, MS RPT

• Licensed Practical Nurse in Longview, WA
• Providers in Longview, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.