Lisa Moody, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN60107790 Issued in WA

Practice address

1035 244TH Ave NE
Redmond, WA 98074-3486

Phone

(425) 466-9931

NPI assigned

Sep 8, 2014

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1477954642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6788 138TH AVE NE APT 628",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980529562",
            "telephone_number": "425-883-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 244TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980743486",
            "telephone_number": "425-466-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "LISA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "RN60107790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rania B Montecillo, OD
• Wendi I Montgomery, M.D.
• Maria Del Rosario Montoya, MEDICAL INTERPRETER
• Melissa Montrose, MSW
• Brendon Andronicus Moodley, DPM
• Kelly Conroy Moore, PHD, LICSW
• Barry John Moorhead, D.D.S.
• Jennifer L Moosman, PHD
• Freya Carmen Moran, D.C., M.S.
• D'Annette Morris

• School Registered Nurse in Redmond, WA
• Providers in Redmond, WA by specialty
• School Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.