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

HEATHER N MOON LPN
NPI 1922879618
Licensed Practical Nurse in Middletown, OH

Active since January 11, 2024
4421 ROOSEVELT BLVD STE HI&J, MIDDLETOWN, OH 45044(833) 510-4357(866) 460-2997 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heather N Moon Lpn NPPES

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

HEATHER N MOON LPN (NPI 1922879618) is an individual licensed practical nurse in Middletown, Ohio, licensed in Ohio (LPN.167003.MED-IV) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1922879618
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameHEATHER N MOONCredential: LPN
Location Address4421 ROOSEVELT BLVD STE HI&JMiddletown, OH 45044-9023
Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600 · (833) 510-4357 · Fax (866) 460-2997
Fax(866) 460-2997
Sole ProprietorNo
Enumeration DateJanuary 11, 2024
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
NPI 1922879618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in OH · LPN.167003.MED-IV
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4421 ROOSEVELT BLVD STE HI&J, Middletown, OH 45044

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Psychiatric/Mental Health)
4421 ROOSEVELT BLVD STE HI&J
MIDDLETOWN, OH 45044
Licensed Practical Nurse
4421 ROOSEVELT BLVD STE HI&J
MIDDLETOWN, OH 45044
Registered Nurse
4421 ROOSEVELT BLVD STE HI&J
MIDDLETOWN, OH 45044

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 Heather Moon's NPI number?

The NPI number for Heather Moon is 1922879618. It was assigned to this individual provider in the NPPES registry on January 11, 2024.

Where is Heather Moon located?

Heather Moon practices at 4421 Roosevelt Blvd Ste Hi&j, Middletown, OH 45044. The listed phone number is (833) 510-4357.

What is Heather Moon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Heather Moon was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 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.