Sara Ashley Mooney, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

74101 Issued in WV

Practice address

1606 Kanawha Blvd W
Charleston, WV 25387-2536

Phone

(304) 768-8523

NPI assigned

Sep 5, 2014

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

Other names 1

• Sara A King Former name

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

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.

• Kanawha Hospice Care, Inc

  • Community Based Hospice Care Agency
  • Charleston, WV
  • NPI 1174556641

  WV

  Medicare reassignment NPD
• West Virginia Health Care Cooperative Inc

  • Hospitalist Physician
  • Summersville, WV
  • NPI 1417415324

  WV

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  Nurse Practitioner, WV

  Medicare reassignment NPD
• West Virginia Health Care Cooperative Inc

  • Critical Access Hospital
  • Summersville, WV
  • NPI 1043778319

  WV

  Medicare reassignment NPD (past)
• Kanawha Hospice Care, Inc.

  • Home Health Agency
  • Charleston, WV
  • NPI 1679221956
  NPD

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1376944637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1393 HAWVER RD",
            "city": "HICO",
            "state": "WV",
            "postal_code": "258547365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 KANAWHA BLVD W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253872536",
            "telephone_number": "304-768-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "SARA",
        "middle_name": "ASHLEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-05",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "F0914132",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "74101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "KING",
            "middle_name": "A",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Pauline Moody, COTAL
• Amber Dawn Mooney
• Daphne Mooney
• Debra Russell Mooney, C-FNP
• Paula Mooney, MSW LGSW
• Abbey Rae Moore, NP
• Alecia Moore
• Alexsas Moore
• Allan Moore
• Alonzo Moore

• All providers in Charleston, WV
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.