Deanna Moon
Licensed Practical Nurse in Kingston, NY. Individual provider (NPI-1).
NPI number1508315151
StatusActive
Last updated in NPPESSep 23, 2016
Details
- NPI
- 1508315151
- Entity type
- Individual (NPI-1)
- Name
- Deanna Moon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2016
- Last updated
- Sep 23, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 257737-1 | NY | Yes |
Practice location
918 Ulster AveKingston, NY 12401-1344
Phone 845-339-6683
Mailing address
1103 Dug Hill RdWest Hurley, NY 12491-5039
Phone 845-339-6683
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 77 Licensed Practical Nurse providers in Kingston · All 1,850 providers in Kingston
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