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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AUDREY MOON
NPI 1891613352
Physician Assistant in Jbsa Lackland, TX

Active since July 09, 2026
1100 WILFORD HALL LOOP BLDG 7002, JBSA LACKLAND, TX 78236(210) 292-1355 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Jul 9, 2026 (2 updates tracked since 2026).

About Audrey Moon NPPES

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

AUDREY MOON (NPI 1891613352) is an individual physician assistant in Jbsa Lackland, Texas and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1891613352
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAUDREY MOON
Location Address1100 WILFORD HALL LOOP BLDG 7002Jbsa Lackland, TX 78236-5638
Mailing Address3310 Oakwell Ct Apt 33411San Antonio, TX 78218-5123 · (443) 987-0380
Phone(210) 292-1355
Sole ProprietorNo
Enumeration DateJuly 9, 2026
Last NPPES UpdateOctober 19, 20262 updates tracked since enumeration
NPPES CertifiedOctober 19, 2026
✔ NPI 1891613352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1100 WILFORD HALL LOOP BLDG 7002, Jbsa Lackland, TX 78236
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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 Audrey Moon's NPI number?

The NPI number for Audrey Moon is 1891613352. It was assigned to this individual provider in the NPPES registry on July 9, 2026.

Where is Audrey Moon located?

Audrey Moon practices at 1100 Wilford Hall Loop Bldg 7002, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-1355.

What is Audrey Moon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Audrey Moon was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.