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MARY MICHELLE MOON
NPI 1144784745
Peer Specialist in Oklahoma City, OK

Active since January 28, 2019
4728 NW 23RD ST APT 4, OKLAHOMA CITY, OK 73127(405) 589-2100 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Michelle Moon NPPES

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

MARY MICHELLE MOON (NPI 1144784745) is an individual peer specialist in Oklahoma City, Oklahoma and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1144784745
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMARY MICHELLE MOON
Location Address4728 NW 23RD ST APT 4Oklahoma City, OK 73127-2191
Mailing Address4728 Nw 23rd St Apt 4Oklahoma City, OK 73127-2191 · (405) 589-2100
Phone(405) 589-2100
Sole ProprietorYes
Enumeration DateJanuary 28, 2019
✔ NPI 1144784745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
4728 NW 23RD ST APT 4, Oklahoma City, OK 73127
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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 Mary Moon's NPI number?

The NPI number for Mary Moon is 1144784745. It was assigned to this individual provider in the NPPES registry on January 28, 2019.

Where is Mary Moon located?

Mary Moon practices at 4728 NW 23rd St Apt 4, Oklahoma City, OK 73127. The listed phone number is (405) 589-2100.

What is Mary Moon's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Mary Moon was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.