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LILI-ANN MARIE MOONEYHAM
NPI 1043758915
Rehabilitation Practitioner in San Diego, CA

Active since February 10, 2017
928 BROADWAY, SAN DIEGO, CA 92101(619) 977-3716 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 26, 2025, Sep 4, 2024, Jul 26, 2024 and 1 more (4 updates tracked since 2017).

About Lili-ann Marie Mooneyham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILI-ANN MARIE MOONEYHAM (NPI 1043758915) is an individual rehabilitation practitioner in San Diego, California and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1043758915
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameLILI-ANN MARIE MOONEYHAM
Location Address928 BROADWAYSan Diego, CA 92101-5514
Mailing Address928 BroadwaySan Diego, CA 92101-5514
Phone(619) 977-3716
Sole ProprietorNo
Enumeration DateFebruary 10, 2017
Last NPPES UpdateMarch 26, 20254 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1043758915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

928 BROADWAY, San Diego, CA 92101
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KASSANDRA MARIE BARACEROS RN
Registered Nurse
928 BROADWAY
SAN DIEGO, CA 92101
San Diego County (619) 275-0822
BRENDA GOODRICH
Day Training/Habilitation Specialist
928 BROADWAY
SAN DIEGO, CA 92101
San Diego County (619) 977-3716
YAHAIRA KARELY TUBI
Counselor (Mental Health)
928 BROADWAY
SAN DIEGO, CA 92101
San Diego County (619) 977-3716
ANGEL OLAYO ESPINOZA
Day Training/Habilitation Specialist
928 BROADWAY
SAN DIEGO, CA 92101
San Diego County (619) 977-3716
ZOEY HANNA DARBY
Case Manager/Care Coordinator
928 BROADWAY
SAN DIEGO, CA 92101
San Diego County (619) 977-3716
MARIAM KIARA LOWE
Counselor (Mental Health)
928 BROADWAY
SAN DIEGO, CA 92101
San Diego County (619) 977-3716
LANA BARAKAT
Counselor (Mental Health)
928 BROADWAY
SAN DIEGO, CA 92101
San Diego County (619) 977-3716
DAVID MICHAEL SCRIVNOR
Case Manager/Care Coordinator
928 BROADWAY
SAN DIEGO, CA 92101
San Diego County (619) 977-3716

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lili-ann Mooneyham's NPI number?

The NPI number for Lili-ann Mooneyham is 1043758915. It was assigned to this individual provider in the NPPES registry on February 10, 2017.

Where is Lili-ann Mooneyham located?

Lili-ann Mooneyham practices at 928 Broadway, San Diego, CA 92101. The listed phone number is (619) 977-3716.

What is Lili-ann Mooneyham's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Lili-ann Mooneyham was last updated on March 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.