ATHENA MOON FNP NPI 1528511169

NPI Information

  • NPI: 1528511169
  • Provider Name: ATHENA MOON, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3001 W UNIVERSITY BLVD
    ODESSA, TX
    ZIP 79764
  • Phone: (432) 580-5966

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NPI Details

Athena Moon, FNP is a family nurse practitioner in Odessa, TX with 10 years of experience. Athena Moon, FNP NPI is 1528511169. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3001 W UNIVERSITY BLVD
ODESSA, TX
ZIP 79764-129
Phone: (432) 580-5966

The NPI 1528511169 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Automated urinalysis test (HCPCS:81003)
  • Hemoglobin a1c level (HCPCS:83036)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Albumin (protein) level (HCPCS:82040)

The enumeration date for this NPI number is 8/1/2016 and was last updated on 8/1/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAP131550TEXASYes

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: 11/21/2025

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