Organization Active NPI

Moonstone Mental Health Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Iowa City, IA
National Provider Identifier
1447064928
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MOONSTONE MENTAL HEALTH SERVICES PLLC
Practice address
1566 S Gilbert St Unit 1023
Iowa City, IA 52240-4304
Phone
(319) 853-8378
NPI assigned
Feb 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Dr. Kadesha Evans, APRNNPI 1770303547
Title
Owner
Phone
(319) 853-8378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1566 S Gilbert St Unit 1023
Iowa City, IA 52240-4304

Mailing address

1566 S Gilbert St Unit 1023
Iowa City, IA 52240-4304
Phone (319) 853-8378

National Provider Directory

National Provider Directory

Locations

1566 S Gilbert St
Unit 1023
Iowa City, IA 52240
Phone (319) 853-8378

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1447064928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1566 S GILBERT ST UNIT 1023",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404304",
            "telephone_number": "319-853-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1566 S GILBERT ST UNIT 1023",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404304",
            "telephone_number": "319-853-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONSTONE MENTAL HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "KADESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-853-8378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.