Carson Walter Moock, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024198369 Issued in VA

Practice address

6104 Roselawn Rd
Roanoke, VA 24018-7608

Phone

(540) 314-1101

NPI assigned

Mar 12, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1467309252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 ROSELAWN RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240187608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6104 ROSELAWN RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240187608",
            "telephone_number": "540-314-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOCK",
        "first_name": "CARSON",
        "middle_name": "WALTER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024198369",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001299817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura H Montague, CRNA
• Jenna Florence Montana, DC
• Chazity Monteith
• Adrien Eileen Monti, LCSW
• Carly Moock, PA-C
• Kevin Moody
• Mollie Moody, LCSW
• Danielle Moon, RBT
• Elizabeth Moon, PH.D., LMFT
• Sherry Moon, LCSW

• Family Nurse Practitioner in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.