Individual provider Active NPI

Heather Moon, FNP-C

  • Family Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1376921999
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19651 Issued in TN
Practice address
2449 Old Fort Pkwy
Murfreesboro, TN 37128-4162
Phone
(615) 225-0140
NPI assigned
May 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19651 TN Primary

Addresses

Primary practice location

2449 Old Fort Pkwy
Murfreesboro, TN 37128-4162

Mailing address

2449 Old Fort Pkwy
Murfreesboro, TN 37128-4162
Phone (615) 225-0140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20150707000870 TN Practitioner - Nurse Practitioner 8426360306 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Medical Care CurrentSince Jan 28, 2016 Accepting new patients

Locations

1525 S Church St
Murfreesboro, TN 37130
Phone (615) 217-7236

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10594/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1376921999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 OLD FORT PKWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371284162",
            "telephone_number": "615-225-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 OLD FORT PKWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371284162",
            "telephone_number": "615-225-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "HEATHER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.