Stephanie Mooney, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126002475 Issued in VA

Practice address

1 Avenue of the Arts
Ratcliffe Hall
Newport News, VA 23606-3072

Phone

(757) 594-8117

NPI assigned

Mar 28, 2017

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1962934208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 BLACKWATER WAY",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061972",
            "telephone_number": "443-617-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AVENUE OF THE ARTS",
            "address_2": "RATCLIFFE HALL",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063072",
            "telephone_number": "757-594-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "STEPHANIE",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimari Montague
• Hadley E Monteith, DPT
• Elyssa Monet Montoya
• James Hyunjong Moon, DDS
• Tae Min Moon, DO
• Edith G Moorcones
• Audrey Durand Moore, LPC
• Charlotte A Moore, DO
• Chewanda Renee Moore, LPC
• Clayton Moore, DO, PHARM.D, PA-C

• Athletic Trainer in Newport News, VA
• Providers in Newport News, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.