Individual provider Active NPI

Amber Lee Moon, CRNA

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
National Provider Identifier
1396987798
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95230 Issued in OK
Practice address
750 NE 13TH St # Oac200
Oklahoma City, OK 73104-5010
Phone
(405) 271-4351
NPI assigned
Mar 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95230 OK Primary

Addresses

Primary practice location

750 NE 13TH St # Oac200
Oklahoma City, OK 73104-5010

Mailing address

750 NE 13TH St, Suite 200
Oklahoma City, OK 73104
Phone (405) 271-4351

Other names 1

  • Amber Lee Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090518000610 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123177318 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
80952OKMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Apr 30, 2009 Accepting new patients
Kyle Jones Aprn-Crna PC Nurse Anesthetist, Certified Registered CurrentSince Feb 19, 2019 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Apr 30, 2009 Accepting new patients
Goodnight Moon Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 27, 2019 Accepting new patients

Locations

419 W Gray St
Norman, OK 73069
Phone (405) 329-7300

5940 NW Expressway
Ste 200
Oklahoma City, OK 73132
Phone (405) 408-9274

8100 S Walker Ave
Bldg C
Oklahoma City, OK 73139
Phone (405) 602-6500

1044 SW 44th St
Oklahoma City, OK 73109
Phone (405) 631-3085

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

1600 Garth Brooks Blvd
Ste 150
Yukon, OK 73099
Phone (405) 227-0054

Organizations & group practices 4

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": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1396987798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 NE 13TH ST, SUITE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73104",
            "telephone_number": "405-271-4351",
            "fax_number": "405-271-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 NE 13TH ST # OAC200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045010",
            "telephone_number": "405-271-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "AMBER",
        "middle_name": "LEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-31",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "95230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "JONES",
            "middle_name": "LEE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.