Individual
ERICA MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 FERRY ST, LAFAYETTE, IN 47904
(765) 448-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006305A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001074540
ANTHEM PROVIDER NUMBER
IN
05
—
300001352
—
IN
Enumeration date
02/28/2017
Last updated
07/11/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us