Organization Active NPI

Moonstone Psychiatric Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1992484851
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MOONSTONE PSYCHIATRIC SERVICES, LLC
Practice address
3883 Normal Blvd Ste 204
Lincoln, NE 68506-5218
Phone
(402) 624-4287
Fax
(402) 702-1551
NPI assigned
Jul 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Kerry Emeigh, APRNNPI 1629621354
Title
Pmhnp-BC
Phone
(402) 624-4287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3883 Normal Blvd Ste 204
Lincoln, NE 68506-5218

Mailing address

3883 Normal Blvd Ste 204
Lincoln, NE 68506-5218
Phone (402) 624-4287

Other identifiers 1

IdentifierTypeStateIssuer
10027783000MedicaidNE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1992484851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3883 NORMAL BLVD STE 204",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065218",
            "telephone_number": "402-624-4287",
            "fax_number": "402-702-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3883 NORMAL BLVD STE 204",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065218",
            "telephone_number": "402-624-4287",
            "fax_number": "402-702-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONSTONE PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "EMEIGH",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "402-624-4287",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10027783000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.