VA Sharon Mounga, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6470833-4405 Issued in UT

Practice address

800 W University Pkwy
Student Health Services SC 221
Orem, UT 84058-6703

Phone

(801) 863-8876

NPI assigned

Jan 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Lotus Center IncGroup PAC ID 4284923491, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lotus Center Inc

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1992167118
  Medicare reassignment Care Compare group NPD
• Lotus Center Inc

  • Case Management Agency
  • Salt Lake City, UT
  • NPI 1184415622
  NPD (past)

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1689945271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 W 2300 N",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041228",
            "telephone_number": "801-995-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W UNIVERSITY PKWY",
            "address_2": "STUDENT HEALTH SERVICES SC 221",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586703",
            "telephone_number": "801-863-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNGA",
        "first_name": "VA",
        "middle_name": "SHARON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "6470833-4405",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "6470833-8900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Ashley Moss
• Kassidy Amelia Mote, RBT
• Isaac Mott
• Lucas James Moulton, LCSW, CRC, LVRC
• Shayla Moulton, PTA
• Mountain Peaks Family Practice LC
• Mountain Peaks Recovery Foundation
• Mountain Ridge Dental, LLC
• Mountain View Anesthesia LC
• Mountain View Chiropractic Center, PLLC

• Family Nurse Practitioner in Orem, UT
• Providers in Orem, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.