Individual provider Active NPI

Amber Moody, DNP, CNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Winner, SD
National Provider Identifier
1255934907
Registry record updated Nov 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CP002480 Issued in SD
Practice address
201 S Monroe St Ste 202C
Winner, SD 57580-1741
Phone
(605) 277-1190
Fax
(605) 309-7850
NPI assigned
Nov 17, 2020
Last updated
Nov 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X N361369739 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CP002480 SD Primary
Registered Nurse 163W00000X R033051 SD
Registered Nurse 163W00000X N261366711 WA

Addresses

Primary practice location

201 S Monroe St Ste 202C
Winner, SD 57580-1741

Mailing address

PO Box 70
Winner, SD 57580-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221107001269 SD Practitioner - Nurse Practitioner 7416324322 Reassigns benefits to 2 organizations
Practice locations: Winner, SD

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Health Care IncGroup PAC ID 8921997933, 55 clinicians

Practice addresses (Care Compare)

161 S Main
Mission, SD 57555
Phone (605) 856-2295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
N261366711WAMDRegistered Nurse
CP002480SDMDPsychiatric/Mental Health Nurse Practitioner
N361369739WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Care Inc CurrentSince Jan 27, 2022 Accepting new patients
Horizon Health Care Inc CurrentSince Jan 27, 2022 Accepting new patients
Horizon Health Care Inc Current Accepting new patients
Red Hills Behavioral Health, PLLC Psychiatric/Mental Health CurrentSince Nov 20, 2022 Accepting new patients
Silver Lining Integrative Psychiatry CurrentSince Oct 1, 2022 Accepting new patients
Southern Plains Behavioral Health Services Inc PastSince Nov 1, 2020 Accepting new patients
Silver Lining Behavioral Health and Psychiatry, PLLC Psychiatric/Mental Health PastSince Aug 1, 2022 Accepting new patients
Horizon Health Care, Inc Past Accepting new patients

Locations

5013 S Louise Ave
Sioux Falls, SD 57108
Phone (605) 215-5209

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

301 4TH St
Mellette Cnty Comm
White River, SD 57579
Phone (605) 259-3121

201 S Monroe St
Ste 202C
Winner, SD 57580
Phone (605) 277-1190

100 Douglas Ave
Ste 106
Yankton, SD 57078
Phone (605) 215-1232

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668297600000",
    "number": "1255934907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575800070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MONROE ST STE 202C",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575801741",
            "telephone_number": "605-277-1190",
            "fax_number": "605-309-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "AMBER",
        "name_prefix": "Mrs.",
        "credential": "DNP, CNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2022-11-13",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "N361369739",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "CP002480",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SD",
            "license": "R033051",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "N261366711",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winner, SD

Sources for this page

Verify at the official NPI Registry.