Noelene S Moonsamy, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

597031 Issued in CA

Practice address

1050 Marina Village Pkwy Ste 101
Alameda, CA 94501-1033

Phone

(725) 527-2897

NPI assigned

Sep 19, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: noelene.moonsamy.1@15542.direct.athenahealth.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.

• Jagmohan S. Khaira, M.D, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Alameda, CA
  • NPI 1306250212
  NPD (past)

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1932481603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 STONERIDGE CT",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946053872",
            "telephone_number": "510-432-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MARINA VILLAGE PKWY STE 101",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011033",
            "telephone_number": "725-527-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONSAMY",
        "first_name": "NOELENE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "597031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE CA",
            "identifier": "597031",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athena",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1050 Marina Village Pkwy Ste 101",
            "city": "Alameda",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945011033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alain Andrea Montiel, D.D.S.
• Xavier Montiel
• Quinci Montosa Boyd
• Ariadna Montufar Alvarez
• Emma L Moonier, LPCC
• Aurora Michelle Moore
• Dasha Marie Moore
• Jesse Gary Daniel Moore
• Kenneth Allen Moore
• Melissa Ann Moore

• Family Nurse Practitioner in Alameda, CA
• Providers in Alameda, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.