Moonlighting Inc

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

MOONLIGHTING INC

Practice address

14728 Pristine Dr
Draper, UT 84020-7642

Phone

(801) 599-3450

NPI assigned

Aug 25, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Layne Kilpatrick, RPH

Title

President, Ceo

Phone

(801) 599-3450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1366758591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1344",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840201344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14728 PRISTINE DR",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207642",
            "telephone_number": "801-599-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLIGHTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "KILPATRICK",
        "authorized_official_first_name": "LAYNE",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "801-599-3450",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Momoh
• Amanda Mondragon
• Suntanna Monson
• Alexandra Montague
• Emma Moon
• Caitlin Moore
• Christopher Moore
• Elva Mora
• Karissa Morales-Garcia
• Daniel Morales

• Community Health Clinic/Center in Draper, UT
• Providers in Draper, UT by specialty
• Community Health Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.