Ryan Matthew Moon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011213 Issued in VA

Practice address

209 W Criser Rd
Front Royal, VA 22630-2360

NPI assigned

Oct 10, 2019

Last updated

Oct 10, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwestern Community Services Board

  • Non-emergency Medical Transport (VAN)
  • Front Royal, VA
  • NPI 1194249748
  NPD

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1861034910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W CRISER RD",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302360",
            "telephone_number": "540-247-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W CRISER RD",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 W. Criser Road",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226302360",
            "country_code": "US",
            "telephone_number": "540-635-4804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 W Criser Rd",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226302360",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "RYAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missionaries of Jesus the Savior (MJS) (Care Angels Diagnostics)
• Missionaries of Jesus the Savior (MJS) (Care Angels Diagnostics Clinics)
• Erik Mitchell, D.O.
• Mlpa Inc (Family Chiropractic Center)
• Moms in Motion, Inc. (At Home Your Way)
• Michele Marie Moore, PMHNP-BC
• Chelsa Lachance Moran
• Sarah Morey
• Victoria Morimoto, PA-C
• Jessica Kay Morris, DO

• Clinical Social Worker in Front Royal, VA
• Providers in Front Royal, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.