Pamela Eno Mooney, R.N.

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

RN 265096 Issued in CA

Practice address

2315 Stockton Blvd RM 4302
Patient Care Services UC Davis Medical Center
Sacramento, CA 95817

Phone

(916) 703-3023

NPI assigned

Jun 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700083425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 STOCKTON BLVD RM 4302",
            "address_2": "PATIENT CARE SERVICES UC DAVIS MEDICAL CENTER",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95817",
            "telephone_number": "916-703-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 STOCKTON BLVD RM 4302",
            "address_2": "PATIENT CARE SERVICES UC DAVIS MEDICAL CENTER",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95817",
            "telephone_number": "916-703-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "PAMELA",
        "middle_name": "ENO",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "CA",
            "license": "RN 265096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kwang Jin Moon, M.D.
• Marco J Moon
• Selena Moon, B.A.
• Ava Mooney
• Lisa Marie Mooney, LCSW
• Tiffani Antoinette Mooney, CB(DONA)
• Lindie Moore Evans
• Sharell Moore Jackson
• Aaron Tillman Moore, D.O.
• Airam Moore

• Pediatric Registered Nurse in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Pediatric Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.