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DR. LEAH NICOLE MOON MD NPI 1417913526


NPI Information

NPI: 1417913526
Provider Name: DR. LEAH NICOLE MOON, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
105 W STONE DR
STE 1F
KINGSPORT, TN
ZIP 37660
Phone: (423) 857-2793
Get Directions

DR. Leah Nicole Moon, MD is an internal medicine in Kingsport, TN with 25 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Leah Nicole Moon, MD NPI is 1417913526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduation Year:1999

The provider's business location address is:

105 W STONE DR
STE 1F
KINGSPORT, TN
ZIP 37660-365
Phone: (423) 857-2793
Fax: (423) 578-8025

The NPI 1417913526 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 5/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineMD37074TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13879851MEDICARE PINTENNESSEE
2H74913MEDICARE UPIN
37100019690MEDICAIDKENTUCKY
4P00640965MEDICARE PINTENNESSEE
5103I117673MEDICARE PINTENNESSEE
63879857MEDICAIDTENNESSEE
73700592MEDICARE PINTENNESSEE
838798571MEDICARE PINTENNESSEE
94106588OTHERTENNESSEEBCBS
10TN01U8OTHERTENNESSEEJOHN DEERE
1138798571MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.