Individual provider Active NPI

Lesia H Mooney, APRN

  • Adult Health Clinical Nurse Specialist
  • Jacksonville, FL
National Provider Identifier
1679372155
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
9176690 Issued in FL
Practice address
11848 Loretto Square Dr S
Jacksonville, FL 32223-4045
Phone
(904) 504-0582
Fax
(904) 504-0583
NPI assigned
Mar 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 9176690 FL Primary

Addresses

Primary practice location

11848 Loretto Square Dr S
Jacksonville, FL 32223-4045

Mailing address

11848 Loretto Square Dr S
Jacksonville, FL 32223-4045
Phone (904) 504-0582

Other names 1

  • Lesia Hope Mooney Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9176690FLMDAdult Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1679372155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11848 LORETTO SQUARE DR S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322234045",
            "telephone_number": "904-504-0582",
            "fax_number": "904-504-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11848 LORETTO SQUARE DR S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322234045",
            "telephone_number": "904-504-0582",
            "fax_number": "904-504-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "LESIA",
        "middle_name": "H",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "FL",
            "license": "9176690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESIA",
            "last_name": "MOONEY",
            "middle_name": "HOPE",
            "credential": "APRN, RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.