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JENNIFER ANN MOON
NPI 1568046472
Massage Therapist in Security, CO

Active since May 06, 2021
413 SECURITY BLVD, STE D, SECURITY, CO 80911(171) 932-1486 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2021, May 6, 2021 (2 updates tracked since 2021).

About Jennifer Ann Moon NPPES

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

JENNIFER ANN MOON (NPI 1568046472) is an individual massage therapist in Security, Colorado, licensed in Colorado (MT0019004) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1568046472
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJENNIFER ANN MOON
Location Address413 SECURITY BLVD, STE DSecurity, CO 80911
Mailing Address413 Security Blvd, Ste DSecurity, CO 80911 · (719) 321-4863
Phone(171) 932-1486
Sole ProprietorYes
Enumeration DateMay 6, 2021
Last NPPES UpdateMay 26, 20212 updates tracked since enumeration
NPPES CertifiedMay 15, 2021
✔ NPI 1568046472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in CO · MT0019004
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
413 SECURITY BLVD, Security, CO 80911
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Other Providers at the Same Location NPPES 4

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

DIVERSUS HEALTH INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
413 SECURITY BLVD
COLORADO SPRINGS, CO 80911
El Paso County (719) 572-6100
DIVERSUS HEALTH INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
413 SECURITY BLVD
COLORADO SPRINGS, CO 80911
El Paso County (719) 572-6100
DIVERSUS HEALTH INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
413 SECURITY BLVD
COLORADO SPRINGS, CO 80911
El Paso County (719) 572-6100
CHRISTINE VIGO
Massage Therapist
413 SECURITY BLVD, STE D
COLORADO SPRINGS, CO 80911
El Paso County (719) 392-4658

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 Jennifer Moon's NPI number?

The NPI number for Jennifer Moon is 1568046472. It was assigned to this individual provider in the NPPES registry on May 6, 2021.

Where is Jennifer Moon located?

Jennifer Moon practices at 413 Security Blvd Ste D, Security, CO 80911. The listed phone number is (171) 932-1486.

What is Jennifer Moon's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jennifer Moon was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.