SHANNON MOONEY DO
NPI 1104528017
Student in an Organized Health Care Education/Training Program in St Petersburg, FL
About Shannon Mooney Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON MOONEY DO (NPI 1104528017) is an individual student in an organized health care education/training program in St Petersburg, Florida and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon Mooney Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAINT PETERSBURG, FL 33701
ST PETERSBURG, FL 33701
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 Shannon Mooney's NPI number?
The NPI number for Shannon Mooney is 1104528017. It was assigned to this individual provider in the NPPES registry on March 22, 2023.
Where is Shannon Mooney located?
Shannon Mooney practices at 501 6th Ave S, St Petersburg, FL 33701. The listed phone number is (727) 767-8804.
What is Shannon Mooney's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Shannon Mooney enrolled in Medicare?
Yes. Shannon Mooney is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Shannon Mooney was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shannon Mooney, DO · NPI 1104528017
Student in an Organized Health Care Education/Training Program provider in St Petersburg, Florida. Individual provider, active in the CMS NPPES registry since March 22, 2023.
## Identity
- **NPI:** 1104528017 (Entity type: Individual)
- **Enumerated:** March 22, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 501 6TH AVE S, St Petersburg, FL 33701-4634
- **Phone:** (727) 767-8804
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104528017) · Data from the CMS NPPES public registry.