Moonstone Medical Group, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30007234 Issued in WA

Legal business name

MOONSTONE MEDICAL GROUP, PLLC

Practice address

9320 NE Vancouver Mall Dr
Suite 103
Vancouver, WA 98662-8203

Phone

(360) 326-3171

Fax

(360) 326-3355

NPI assigned

Sep 28, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Shelly Lafrance, MN, FNP-BC

Title

Nurse Practitioner

Phone

(360) 326-3171

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shelly LaFrance, FNP, PLLC Other name

Locations

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1689044182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 NE VANCOUVER MALL DR",
            "address_2": "SUITE 103",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986628203",
            "telephone_number": "360-326-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 NE VANCOUVER MALL DR",
            "address_2": "SUITE 103",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986628203",
            "telephone_number": "360-326-3171",
            "fax_number": "360-326-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONSTONE MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "LAFRANCE",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "360-326-3171",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9652660",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelly LaFrance, FNP, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elena Moon, AAC
• Gregory Lynn Moon, RN
• L Katherine Moon, ARNP, FNP,MSN
• Michael Joseph Mooney, MD
• Robin Fries Mooney, RN
• Moontree Counseling
• Christopher P. Moor, AU.D.
• Moore Counseling and Care LLC
• Robyn Diane Moore-Sullivan, MA, LMHC
• Caitlin Darlene Moore

• Family Nurse Practitioner in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.