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
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
Mailing address
1410 N Caufield Ct
Liberty Lake, WA 99016-9433
Registry dates
- Enumerated
- 2022-09-15
- Last updated
- 2022-09-15
- Certified
- 2022-09-15
Frequently asked questions
- 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.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.