Rachel Anne Moody, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

202120260 Issued in NY

Practice address

3151 Stoney St
Mohegan Lake, NY 10547-1913

Phone

(914) 885-1995

NPI assigned

Dec 2, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rmoody23@hiemail.healtheconnections.org
• FHIR API: https://api.platform.athenahealth.com/12952/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Medical World PC

  • Pediatrics Physician
  • Yonkers, NY
  • NPI 1952615528
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1013675495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 BRUYNSWICK RD",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "125893259",
            "telephone_number": "251-656-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 STONEY ST",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105471913",
            "telephone_number": "914-885-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "202120260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Cardiovascular Systems, Inc.
• Mohegan Lake Dental PC
• Mohegan Volunteer Fire Association Volunteer Ambulance Corps Inc
• Vanessa T Mojica
• Daniella Elyse Montalto, M.A., CCC-SLP
• Ellen G Most
• Nachmann and Zhang LLC
• Mohammad Richard Nadeem
• National Vision Inc
• Kimberly Tracey Niese, SPECIAL EDUCATION

• Pediatric Nurse Practitioner in Mohegan Lake, NY
• Providers in Mohegan Lake, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.