Nicole D Moody, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP95035078 Issued in CA

Practice address

822 E Avenue K
Lancaster, CA 93535-4766

Phone

(661) 579-9760

NPI assigned

Sep 2, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

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.

• FHMC Group Inc

  • Primary Care Clinic/Center
  • Arleta, CA
  • NPI 1790306074
  NPD (past)

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1073746343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25330 SILVER ASPEN WAY APT 1221",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913810731",
            "telephone_number": "661-210-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 E AVENUE K",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935354766",
            "telephone_number": "661-579-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "NICOLE",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NP95035078",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95035078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aniya Sha'Lynn Montgomery
• Lori Montgomery, PSY.D.
• Darcey Montoya
• Montress Dialysis LLC
• Katlin Mariah Moody
• Michelle Moon
• Davia Carolyn Moore
• Ethel Fay Moore, CPRP
• Gwendolyn Faith Moore Jr.
• Michael Dewayne Moore

• Nurse Practitioner in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.