What is Jacki Moon's NPI number?

Jacki Moon's National Provider Identifier (NPI) is 1629273008, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jacki Moon's specialty?

Jacki Moon is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Jacki Moon located?

Jacki Moon's practice location on file with NPPES is 10519 20th St. Se, Lake Stevens, WA 98258.

What is Jacki Moon's phone number?

The practice phone number listed in the NPPES registry for Jacki Moon is (425) 397-4900.

Is Jacki Moon's NPI active?

Yes — Jacki Moon's NPI (1629273008) is active in the NPPES registry as of the last update on 2021-02-02.

IndividualActive

Jacki Moon, LMT

NPI 1629273008 · Specialist · Lake Stevens, WA

Jacki Moon, LMT is a Specialist provider in Lake Stevens, WA (NPI 1629273008).

Provider details

NPI number: 1629273008
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Credential: LMT
Sex: Female
Sole proprietor: Yes
License: MA00004663 (WA)

Specialties & taxonomies

SpecialistPrimary174400000XLicense MA00004663 (WA)
Other Service Providers

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

10519 20th St. Se

Suite # 1

Lake Stevens, WA 98258

Phone: (425) 397-4900

Fax: (425) 397-6900

Street-level locationGet directions

More WA providers

Mailing address

P.o. Box 1061