What is Sully Moon's NPI number?

Sully Moon's National Provider Identifier (NPI) is 1982326914, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Sully Moon's specialty?

Sully Moon is listed in the NPPES registry with a primary specialty of Attendant Care Provider (Nursing Service Related Providers).

Where is Sully Moon located?

Sully Moon's practice location on file with NPPES is 1410 N Caufield Ct, Liberty Lake, WA 99016-9433.

What is Sully Moon's phone number?

The practice phone number listed in the NPPES registry for Sully Moon is (360) 525-5996.

Is Sully Moon's NPI active?

Yes — Sully Moon's NPI (1982326914) is active in the NPPES registry as of the last update on 2022-09-15.

IndividualActive

Sully Moon, IP

NPI 1982326914 · Attendant Care Provider · Liberty Lake, WA

Sully Moon, IP is a Attendant Care Provider provider in Liberty Lake, WA (NPI 1982326914).

Provider details

NPI number: 1982326914
Entity type: Individual
Primary specialty: Attendant Care ProviderNursing Service Related Providers
Credential: IP
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Attendant Care ProviderPrimary3747A0650X
Nursing Service Related Providers

Profile Score

Established profile(53/100 index)

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

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
83% 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

1410 N Caufield Ct

Liberty Lake, WA 99016-9433

Phone: (360) 525-5996

Street-level locationGet directions

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Mailing address