Active NPI
Amber Moody, DNP, CNP, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Winner, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CP002480
- 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, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| N261366711 | WA | MD | Registered Nurse |
| CP002480 | SD | MD | Psychiatric/Mental Health Nurse Practitioner |
| N361369739 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Health Care Inc | Current | Accepting new patients | |
| Horizon Health Care Inc | Current | Accepting new patients | |
| Horizon Health Care Inc | Current | Accepting new patients | |
| Red Hills Behavioral Health, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Silver Lining Integrative Psychiatry | Current | Accepting new patients | |
| Southern Plains Behavioral Health Services Inc | Past | Accepting new patients | |
| Silver Lining Behavioral Health and Psychiatry, PLLC | Psychiatric/Mental Health | Past | 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.
-
dba Aurora County Clinic
- Federally Qualified Health Center (FQHC)
- Plankinton, SD
- NPI 1356459382
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1720678824
-
- Psychiatric/Mental Health Nurse Practitioner
- Winner, SD
- NPI 1477261923
-
dba Yankton Community Health Center
- Federally Qualified Health Center (FQHC)
- Yankton, SD
- NPI 1013445907
-
dba Isabel Community Clinic
- Federally Qualified Health Center (FQHC)
- Isabel, SD
- NPI 1205800075
-
dba Mellette County Health Center
- Federally Qualified Health Center (FQHC)
- White River, SD
- NPI 1962511014
-
- Psychiatric/Mental Health Nurse Practitioner
- Tea, SD
- NPI 1881408094
-
- Community/Behavioral Health Agency
- Winner, SD
- NPI 1043350440
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.