Debra Momon, L.P.N.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP024121 Issued in AZ

Practice address

3637 N 55TH Ave
Phoenix, AZ 85031-2503

Phone

(623) 691-5015

NPI assigned

Jun 6, 2007

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

State licenses

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730382045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7349 W GEORGIA AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853035740",
            "telephone_number": "623-691-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 N 55TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850312503",
            "telephone_number": "623-691-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMON",
        "first_name": "DEBRA",
        "name_prefix": "Ms.",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP024121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Molyneux, MD
• Lucretia Molzahn, LAC
• Momentum Mobility Inc
• Momentum Physical & Sports Rehabilitation Limited Partnership
• Momm
• Moms House of Az LLC
• Momsultant LLC
• Jane H Monachelli
• Katelyn H Monaco, COTA
• Malia Monaco

• Licensed Practical Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Licensed Practical Nurse in Arizona

• 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.