Active NPI
Tamara N Moody, APRN
- Acute Care Nurse Practitioner
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- C-APN.0004179-C-NP
- Practice address
- 2222 N Nevada Ave
Colorado Springs, CO 80907-6819 - Phone
- (719) 776-8040
- NPI assigned
- Apr 2, 2019
- Last updated
- Jun 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 78654 | KS | |
| Nurse Practitioner | 363L00000X | C-APN.0004179-C-NP | CO | |
| Acute Care Nurse Practitioner | 363LA2100X | C-APN.0004179-C-NP | CO | Primary |
Addresses
Primary practice location
2222 N Nevada Ave
Colorado Springs, CO 80907-6819
Mailing address
401 E Spruce St
Garden City, KS 67846-5679
Phone (620) 272-2222
Other practice location 1
401 E Spruce St
Garden City, KS 67846-5679
Phone (620) 272-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78654 | Other | KS | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2222 N Nevada Ave
HSPH Hospitalists PSF
Colorado Springs, CO 80907-6819
Phone (719) 776-8040
Hospital & facility affiliations
- Kit Carson County Memorial Hospital
- Centura Health-Penrose St Francis Health Services
- Kit Carson County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.06 of 100
- Quality
- 89.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78654 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Kit Carson County Health Services District | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients |
Locations
286 16th St
Burlington, CO 80807
Phone (719) 346-5311
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
10860 New Allegiance Dr
Colorado Springs, CO 80921
Phone (719) 757-7000
2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333
7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650
100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
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 Ctsa Cardiac Thor Surg
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
dba Kit Carson County Memorial Hospital
- Critical Access Hospital
- Burlington, CO
- NPI 1184711475
-
- Pulmonary Disease Physician
- Wichita, KS
- NPI 1063704401
-
- Vascular & Interventional Radiology Physician
- Colorado Springs, CO
- NPI 1154916534
-
dba CommonSpirit Orthopedics Longmont
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
dba Colorado Comprehensive Spine Institute
- Orthopaedic Surgery of the Spine Physician
- Denver, CO
- NPI 1174132690
-
dba Affiliated Ear, Nose & Throat Physicians
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
dba AdventHealth Medical Group Urology at Lakewood
- Urology Physician
- Lakewood, CO
- NPI 1942165626
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Penrose Cardiac & Pulmonary Rehab Center
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1801436415
-
dba Penrose Hospital
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1932112125
-
dba Kit Carson County Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Burlington, CO
- NPI 1033281514
Nursing home
-
dba Kit Carson County Memorial Hospital
- Critical Access Hospital
- Burlington, CO
- NPI 1184711475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1336601004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E SPRUCE ST",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678465679",
"telephone_number": "620-272-2222",
"fax_number": "620-272-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 N NEVADA AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809076819",
"telephone_number": "719-776-8040"
}
],
"practiceLocations": [
{
"address_1": "401 E Spruce St",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "KS",
"postal_code": "678465679",
"country_code": "US",
"telephone_number": "620-272-2222",
"fax_number": "620-272-2755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOODY",
"first_name": "TAMARA",
"middle_name": "N",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "78654",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "C-APN.0004179-C-NP",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CO",
"license": "C-APN.0004179-C-NP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "78654",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.