Kimberly Moody

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

4588 N Rancho Dr
# 12
Las Vegas, NV 89130-3426

Phone

(702) 338-4697

Fax

(702) 396-6164

NPI assigned

Sep 9, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1407163587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 S. PECOS ST 17",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215027",
            "telephone_number": "702-396-3464",
            "fax_number": "702-396-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4588 N RANCHO DR",
            "address_2": "# 12",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303426",
            "telephone_number": "702-338-4697",
            "fax_number": "702-396-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Moody, BCBA, LBA
• Annalisa Moody
• Casie Quinn Moody
• Chelsea Ann Moody, DO
• John Paul Moody III, D.C.
• Meisha Moody
• Michael S Moody, D.M.D.
• Shermeca Moody
• Sydney Moody
• Rachel Mooers

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.