Deborah Clay Sellers-Mooney, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

25498 Issued in TN

Practice address

3651 Winfield Dunn Pkwy
Kodak, TN 37764-1471

Phone

(865) 465-7088

Fax

(888) 909-9643

NPI assigned

Feb 23, 2019

Sex

Female

Sole proprietor

No

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

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.

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: deborah.sellers-mooney.1@22220.direct.athenahealth.com

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.

• First Step Counseling LLC

  • Addiction Medicine (Family Medicine) Physician
  • Kodak, TN
  • NPI 1114895968
  NPD (past)
• First Step Medical LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lebanon, VA
  • NPI 1134783194
  NPD (past)

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

{
    "created_epoch": "1550880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550880000000",
    "number": "1194282491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 WINFIELD DUNN PKWY",
            "city": "KODAK",
            "state": "TN",
            "postal_code": "377641471",
            "telephone_number": "865-465-7088",
            "fax_number": "888-909-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 WINFIELD DUNN PKWY",
            "city": "KODAK",
            "state": "TN",
            "postal_code": "377641471",
            "telephone_number": "865-465-7088",
            "fax_number": "888-909-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS-MOONEY",
        "first_name": "DEBORAH",
        "middle_name": "CLAY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-23",
        "last_updated": "2019-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restoration House Ministries
• Restoration House Ministries
• Joseph Roberto, DDS
• Svetlana Rowland, FNP-BC
• Noelan Schafer
• TN Premier Care LLC
• TN Premier Care LLC
• Ursula Treadaway, PA-C
• Nathaniel Trok
• Volunteer Drug Testing LLC

• Family Nurse Practitioner in Kodak, TN
• Providers in Kodak, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.