Active NPI
Amanda Leigh Moody, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5015000
- Practice address
- 3000 Highwoods Blvd Ste 310
Raleigh, NC 27604-1029 - Phone
- (919) 714-7500
- NPI assigned
- Sep 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 00000000 | NC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5015000 | NC | Primary |
Addresses
Primary practice location
3000 Highwoods Blvd Ste 310
Raleigh, NC 27604-1029
Mailing address
13137 Bold Run Hill Rd
Wake Forest, NC 27587-7800
Phone (919) 691-5995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000000 | NC | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alamance Regional Medical Center, Inc | Current | Accepting new patients | |
| Alamance Regional Medical Center, Inc. | Single Specialty | Current | Accepting new patients |
| Hope Services, LLC | Single Specialty | Current | Accepting new patients |
| The Moses H. Cone Memorial Hospital Operating Corporation | Single Specialty | Current | Accepting new patients |
| Hope Services, LLC | Past | Accepting new patients |
Locations
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
700 Walter Reed Dr
Greensboro, NC 27403
Phone (336) 832-9600
509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970
931 3rd St
Greensboro, NC 27405
Phone (336) 890-2700
300 E Wendover Ave
Fl 2
Greensboro, NC 27401
Phone (336) 663-5219
3000 Highwoods Blvd
Ste 310
Raleigh, NC 27604
Phone (919) 714-7500
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Burlington, NC
- NPI 1326010273
Single Specialty
-
dba Cone Health Sickle Cell Center
- Internal Medicine Physician
- Greensboro, NC
- NPI 1013265909
Single Specialty
-
dba ARMC Health Care Employee Pharmacy
- Pharmacy
- Burlington, NC
- NPI 1851681993
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1083938385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1417626268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13137 BOLD RUN HILL RD",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275877800",
"telephone_number": "919-691-5995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 HIGHWOODS BLVD STE 310",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276041029",
"telephone_number": "919-714-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "AMANDA",
"middle_name": "LEIGH",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-07",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "00000000",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5015000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.