Amy Nicole Moon-Cushman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3930 Issued in NC

Practice address

625 E Main St
Maiden, NC 28650-1419

Phone

(828) 428-5656

Fax

(828) 970-4202

NPI assigned

Mar 18, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maiden Community Chiropractic

  • Chiropractor
  • Maiden, NC
  • NPI 1780825893
  Medicare reassignment NPD Authorized official
• Maiden Family Chiropractic, PLLC

  • Chiropractor
  • Maiden, NC
  • NPI 1720155138
  NPD (past)

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1699916767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 766",
            "city": "MAIDEN",
            "state": "NC",
            "postal_code": "286500766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E MAIN ST",
            "city": "MAIDEN",
            "state": "NC",
            "postal_code": "286501419",
            "telephone_number": "828-428-5656",
            "fax_number": "828-970-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON-CUSHMAN",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maiden Optometric Eye Care Center, PLLC (Maiden Eye Clinic)
• Madison Lineberger May, LCMHCA
• Holli McRee
• Mechanical Care Concepts, Inc
• Michel Montalvo, LCSWA
• Brandon Alexander Morales
• Maria Myers
• Anne Azrak Olejarz, DO
• Raven Patterson
• Lorissa Renel Peters, LCSWA

• Chiropractor in Maiden, NC
• Providers in Maiden, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.