Mary Moody

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

CNA0903587 Issued in IN

Practice address

3840 Colonial Dr
Columbus, IN 47203-2645

Phone

(727) 485-3219

NPI assigned

Sep 28, 2023

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1053190983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21568 E COUNTY ROAD 400 S",
            "city": "WESTPORT",
            "state": "IN",
            "postal_code": "472839400",
            "telephone_number": "812-390-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 COLONIAL DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032645",
            "telephone_number": "727-485-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "IN",
            "license": "CNA0903587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallary Monk, RBT
• Montgomery Mental Health, LLC
• Logan Marshall Montgomery, MA, LMHC
• Martha Montgomery, O.T.
• Paul Montgomery, RBT
• Taylor D Moon, PT,DPT
• Skylar Moonstone, RBT
• Amber Moore
• Chelsea Moore, RBT
• Christian Moore

• Personal Care Attendant in Columbus, IN
• Providers in Columbus, IN by specialty
• Personal Care Attendant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.