Sara Beth Moon

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

814 S Wisconsin Ave
Wellston, OH 45692-2149

Phone

(740) 418-7242

NPI assigned

Sep 3, 2024

Last updated

Sep 3, 2024By 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

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1821823576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 S WISCONSIN AVE",
            "city": "WELLSTON",
            "state": "OH",
            "postal_code": "456922149",
            "telephone_number": "740-418-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S WISCONSIN AVE",
            "city": "WELLSTON",
            "state": "OH",
            "postal_code": "456922149",
            "telephone_number": "740-418-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "SARA",
        "middle_name": "BETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Mayo, R.PH
• Carl W. McDermott III
• Dreama Dawn McFadden, R.N.
• Rhonda Sue McKibben
• Medical Service Options Inc (Community Counseling and Social Services)
• Cassandra Moore
• Lillian Taylor Mullins
• Autumn Dawn Nettles, R.N.
• Kelly Newell, RDH/CHE
• Kimberly Brooke Newsom, LPTA

• Home Health Aide in Wellston, OH
• Providers in Wellston, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.