JACKI L MOON (LMT) – Specialist, NPI 1629273008

JACKI L MOON (LMT) is a healthcare provider. based in Lake stevens, Washington. specializing in Specialist. They hold the professional credentials LMT. They hold a License No. MA00004663 (WA). The NPI Number for JACKI L MOON (LMT) is 1629273008

Main info

Female
Sole Proprietor
Name
JACKI L MOON (LMT)
NPI
1629273008
Phone
(425) 397-4900
Address
P.O. BOX 1061
Enumeration Date
18 June 2007
Last Update Date
2 February 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for JACKI L MOON (LMT)

  • P.O. BOX 1061

    LAKE STEVENS, WA 98258

    Phone: (425) 397-4900

    Fax: (425) 397-6900

    Type: Mailing

  • 10910, Lake View Drive, West Lake Stevens, Lake Stevens, Snohomish County, Washington, 98258, United States

    LAKE STEVENS, WA 982589572

    Phone: (425) 502-7710

    Fax: (425) 335-3456

    Type: Location

  • 10519 20TH ST. SE

    SUITE # 1

    LAKE STEVENS, WA 98258

    Phone: (425) 397-4900

    Fax: (425) 397-6900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98258)

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Reviews

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Frequently asked questions

Does JACKI L MOON (LMT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JACKI L MOON (LMT) uses 1629273008.
Does CMS list JACKI L MOON (LMT) as active?
Yes — JACKI L MOON (LMT) is active in the NPI listing used on this page.
What is JACKI L MOON (LMT)'s primary classification?
Other Service Providers is the headline specialty for JACKI L MOON (LMT) here. Clinical services aligned with this taxonomy classification.
What area does JACKI L MOON (LMT) serve?
JACKI L MOON (LMT)'s listing highlights Lake Stevens, Washington; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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