Active NPI
Jody Lynn Moyer, M.S., RCEP, LAT, ATC
- Athletic Trainer
- Hanover, PA
National Provider Identifier
1063865475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT002483A
- Practice address
- 300 Highland Avenue
Hanover Hospital
Hanover, PA 17331 - Phone
- (717) 316-3488
- NPI assigned
- Jul 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT002483A | PA | Primary |
Addresses
Primary practice location
300 Highland Avenue
Hanover Hospital
Hanover, PA 17331
Mailing address
38 Bonniefield Cir
Gettysburg, PA 17325-7825
Phone (717) 334-8786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT002483A | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1063865475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 BONNIEFIELD CIR",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173257825",
"telephone_number": "717-334-8786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HIGHLAND AVENUE",
"address_2": "HANOVER HOSPITAL",
"city": "HANOVER",
"state": "PA",
"postal_code": "17331",
"telephone_number": "717-316-3488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "JODY",
"middle_name": "LYNN",
"credential": "M.S., RCEP, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-20",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT002483A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.