Moonrise Mental Health PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP111655 Issued in TX

Legal business name

MOONRISE MENTAL HEALTH PLLC

Practice address

3516 NE Stallings Dr
Nacogdoches, TX 75965-8732

Phone

(936) 564-9785

Fax

(936) 564-4136

NPI assigned

Mar 2, 2018

Last updated

Mar 2, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sherry Van Meter, DNP, RN, PMHNP, WHNPNPI 1134440829

Title

Owner

Phone

(903) 918-2123

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sherry Van Meter, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lufkin, TX
  • NPI 1134440829
  NPD (past) Authorized official
• Shyam A Vyas, MD

  • Psychiatry Physician
  • Nacogdoches, TX
  • NPI 1992850184
  NPD (past)

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519948800000",
    "number": "1720580053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 COUNTY ROAD 411",
            "city": "GARY",
            "state": "TX",
            "postal_code": "756435435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759658732",
            "telephone_number": "936-564-9785",
            "fax_number": "936-564-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONRISE MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A",
        "authorized_official_last_name": "VAN METER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-918-2123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, RN, PMHNP, WHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP111655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Montana, MS, LAT, ATC
• Antonio Montilla, LPC
• James Montoya, LBSW
• Tomeka Moody, MS, CCC/SLP
• Kelley E Moon, M.D.
• Caylee Donice Moore, M.S. CCC-SLP
• Donald Raymond Moore, PHARM. D
• Shannon Maire Morgan, CBE
• Cory Morris
• Symika Darnell Morris, ASSOCIATES

• Psychiatric/Mental Health Nurse Practitioner in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.