JOANNE MOON
NPI 1467089912
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Q: What is Joanne Moon's NPI number?

The NPI number for Joanne Moon is 1467089912. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Q: What is Joanne Moon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Joanne Moon was last updated on April 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 25, 2020PECOS Enrolled

22 S GREENE ST RM N3E09, BALTIMORE, MD 21201(410) 328-6110 Get Directions Write a Review

NPPES record last updated: April 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2020, Mar 25, 2020 (2 updates tracked since 2020).

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About Joanne Moon NPPES

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

JOANNE MOON (NPI 1467089912) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467089912

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJOANNE MOON

Location Address22 S GREENE ST RM N3E09Baltimore, MD 21201-1544

Mailing Address22 S Greene St Rm N3e09Baltimore, MD 21201-1544 · (410) 328-6110

Phone(410) 328-6110

Sole ProprietorNo

Enumeration DateMarch 25, 2020

Last NPPES UpdateApril 13, 20202 updates tracked since enumeration

NPPES CertifiedApril 13, 2020

✔ NPI 1467089912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

22 S GREENE ST RM N3E09, Baltimore, MD 21201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joanne Moon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. KATHERINE MICHAELA PANAGOS MD

Student in an Organized Health Care Education/Training Program