Amanda Mooneyham, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A138589 Issued in CA

Practice address

1035 Placer St
Redding, CA 96001-1125

Phone

(530) 246-5710

NPI assigned

Feb 16, 2011

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 CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of California, Davis School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shasta Community Health CenterGroup PAC ID 3870579816, 63 clinicians

Dignity HealthGroup PAC ID 2062320559, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Home Care Professionals Home health agency, Redding, CA, CCN 557107
• Mercy Home Care Home health agency, Redding, CA, CCN 057609
• Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280
• Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764
• Oroville Hospital Hospital, Oroville, CA, CCN 050030

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.mooneyham.p1@direct.schc.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Dignity Health

  • Oncology Clinic/Center
  • Redding, CA
  • NPI 1336588870
  Medicare reassignment Care Compare group NPD
• Shasta Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1114533171
  Medicare reassignment Care Compare group NPD
• Dignity Health

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1477671535
  NPD
• Dignity Health

  • Rural Health Clinic/Center
  • Mount Shasta, CA
  • NPI 1508341397
  NPD
• Shasta Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Shasta Lake, CA
  • NPI 1013932797

  Family Medicine

  NPD
• Shasta Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1356815542
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  • Home Health Agency
  • Redding, CA
  • NPI 1104944255
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1477671535
  Care Compare affiliation
• Medical Home Specialists Inc

  • Home Health Agency
  • Redding, CA
  • NPI 1982607065
  Care Compare affiliation
• Oroville Hospital

  • General Acute Care Hospital
  • Oroville, CA
  • NPI 1871606269
  Care Compare affiliation
• Prime Healthcare Services - Shasta LLC

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1205089026
  Care Compare affiliation

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1962709568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 PLACER ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PLACER ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011125",
            "telephone_number": "530-246-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEYHAM",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "D4207064",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A138589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Lee Montgomery, NP
• Socorro Montoya
• Latasha Christine Moon, CRANIAL PROSTHESIS
• Wendy J Moon, M.A.
• Julia E Mooney, MD
• Michael Joel Moore, D.C.
• Schimar Racine Mora
• Alyssa Marie Morales
• Jennifer Morales, PTA
• Maria C Morales, NP

• Family Medicine Physician in Redding, CA
• Providers in Redding, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.