Individual provider Active NPI

Kimberly Ann Moody

  • Hearing Instrument Specialist
  • Terrytown, LA
National Provider Identifier
1497508501
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Practice address
1820 Belle Chasse Hwy Ste 106
Terrytown, LA 70056-7021
Phone
(504) 263-2433
NPI assigned
Apr 9, 2024
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X Primary

Addresses

Primary practice location

1820 Belle Chasse Hwy Ste 106
Terrytown, LA 70056-7021

Mailing address

5750 Johnston St Ste 502
Lafayette, LA 70503-5334
Phone (337) 704-2228

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address insurance@miracle-earla.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Billedeaux Hearing Center, LLC PastSince Apr 14, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1497508501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 JOHNSTON ST STE 502",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035334",
            "telephone_number": "337-704-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 BELLE CHASSE HWY STE 106",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700567021",
            "telephone_number": "504-263-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "insurance@miracle-earla.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1820 Belle Chasse Hwy Ste 106",
            "city": "Terrytown",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700567021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Terrytown, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.