AMBER ROSE MOON
NPI 1184513301
Nurse's Aide in Randolph, NE

NPI Status: Active since July 01, 2025

Contact Information

517 E HUGHSON ST
RANDOLPH, NE
ZIP 68771
Phone: (402) 360-3275

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  • Individual
  • Female
  • Nurse's Aide

About AMBER MOON

This page provides the complete NPI Profile along with additional information for Amber Moon, a provider established in Randolph, Nebraska with a medical specialization in Nurse's Aide. The healthcare provider is registered in the NPI registry with number 1184513301 assigned on July 2025. The practitioner's primary taxonomy code is 376K00000X with license number 117051 (NE). The provider is registered as an individual and her NPI record was last updated July 2025.

NPI
1184513301
Provider Name
AMBER ROSE MOON
Gender
Female
Entity Type
Individual
Location Address
517 E HUGHSON ST RANDOLPH, NE 68771
Location Phone
(402) 360-3275
Mailing Address
517 E HUGHSON ST RANDOLPH, NE 68771
Mailing Phone
(402) 360-3275
Is Sole Proprietor?
Yes
Enumeration Date
07-01-2025
Last Update Date
07-01-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse's Aide

Taxonomy Code
376K00000X
Type
Nursing Service Related Providers
License No.
117051
License State
NE
Taxonomy Description
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13747P1801XNursing Service Related Providers

Technician
Personal Care Attendant

 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1184513301
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21164101630
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 0 + 1 + 6 + 3 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1184513301 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184513301, enumerated in the NPI registry as an "individual" on July 01, 2025

The provider is located at 517 E Hughson St Randolph, Ne 68771 and the phone number is (402) 360-3275

The provider's speciality is Nurse's Aide with taxonomy code 376K00000X

This NPI record was last updated on July 01, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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