Andrew Jonathan Moon, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 60238191 Issued in WA

Practice address

603 E 8TH St
Suite D
Port Angeles, WA 98362-6251

Phone

(360) 452-2934

NPI assigned

Oct 3, 2011

Last updated

Oct 3, 2011By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Weider Chiropractic Clinic,P.S.

  • Chiropractor
  • Port Angeles, WA
  • NPI 1063693497
  NPD (past)

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1356625883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W BLUFF DR",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983629545",
            "telephone_number": "360-477-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E 8TH ST",
            "address_2": "SUITE D",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626251",
            "telephone_number": "360-452-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "ANDREW",
        "middle_name": "JONATHAN",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60238191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linsey Jane Monaghan, M.D.
• Megan Ann Monds, LICSW
• Ricarda Annette Montague, SUDP
• Susan Montana, RN
• Kristina Lynn Montoya
• Alison Moore, MASSAGE THERAPIST
• Courtney Lynn Moore, SUDPT
• Erik Stuart Mordecai-Smith
• Nicole Lynn Moreira, MA, AAC
• Leslie Morfeld, NAC

• Massage Therapist in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.