Alice Gail Moon, MSRD, PAC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

577469 Issued in MI

Practice address

20010 Farmington Rd
Livonia, MI 48152-1408

Phone

(248) 471-7171

Fax

(248) 471-1212

NPI assigned

Jun 5, 2006

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 MI

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

Physician Assistant

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Pain Solutions PLLCGroup PAC ID 0547440745, 6 clinicians

Tri-County Counseling Services LLCGroup PAC ID 3173703907, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: alice.moon@pps.eclinicaldirectplus.com

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.

• Comprehensive Pain Solutions PLLC

  • Pain Medicine Physician
  • Canton, MI
  • NPI 1437478716
  Medicare reassignment Care Compare group
• Tri-County Counseling Services PLLC

  • Community/Behavioral Health Agency
  • Madison Heights, MI
  • NPI 1225339906
  Medicare reassignment Care Compare group
• Health One Medical Center

  • Family Medicine Physician
  • Lincoln Park, MI
  • NPI 1316997422
  NPD (past)
• Psychiatric Support Services PLLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Canton, MI
  • NPI 1104147347

  Physician Assistant

  NPD (past)
• Specialists in Psychiatric Pharmacology PLLC

  • Psychiatry Physician
  • Birmingham, MI
  • NPI 1548447709
  NPD (past)
• Wayne County Therapeutic, Inc.

  • Medical Physician Assistant
  • Livonia, MI
  • NPI 1760533699
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790724011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20010 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521408",
            "telephone_number": "248-471-7171",
            "fax_number": "248-471-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20010 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521408",
            "telephone_number": "248-471-7171",
            "fax_number": "248-471-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "ALICE",
        "middle_name": "GAIL",
        "credential": "MSRD, PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "577469",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Montgomery
• Tanisha Montgomery
• Mark Fhil Quintana Monton, PT
• Shelby Moody
• Moon and Sage LLC
• Moonlite Home Care Inc
• Moonlite Hospice Care Inc
• Penelope Anne Moore-Caskey
• Toya Moore-Reyes
• Elondo Moore

• Registered Dietitian in Livonia, MI
• Providers in Livonia, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.