Active NPI
Donna Gail Moody, ARNP C
- Adult Health Nurse Practitioner
- Sun City Center, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP1326002
- Practice address
- 957 E del Webb Blvd Ste 101
Sun City Center, FL 33573-6671 - Phone
- (813) 634-1484
- Fax
- (813) 435-2023
- NPI assigned
- Jul 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ARNP1326002 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | ARNP1326002 | FL | Primary |
Addresses
Primary practice location
957 E del Webb Blvd Ste 101
Sun City Center, FL 33573-6671
Mailing address
957 E del Webb Blvd Ste 101
Sun City Center, FL 33573-6671
Phone (813) 634-1484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00089075 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
957 E del Webb Blvd
Suite 101
Sun City Center, FL 33573-6671
Phone (813) 634-1484
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1326002 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hightower Dermatology Services, LLC | Dermatology | Current | Accepting new patients |
| Advanced Wound Systems LLC | Past | Accepting new patients | |
| Nautilus Health Care Group, LLC | Past | Accepting new patients |
Locations
957 E Del Webb Blvd
Ste 101
Sun City Ctr, FL 33573
Phone (813) 634-1484
Interoperability endpoints
- https://api.platform.athenahealth.com/7320/brand/1/csg/1/fhir/r4
- dmoody@hightower.emadirect.md
Organizations & group practices 3
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.
-
- Dermatology Physician
- Sun City Center, FL
- NPI 1740620178
-
- Durable Medical Equipment & Medical Supplies
- St Petersburg, FL
- NPI 1508054271
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Kokomo, IN
- NPI 1013234699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1497788467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "957 E DEL WEBB BLVD STE 101",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335736671",
"telephone_number": "813-634-1484",
"fax_number": "813-435-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "957 E DEL WEBB BLVD STE 101",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335736671",
"telephone_number": "813-634-1484",
"fax_number": "813-435-2023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "DONNA",
"middle_name": "GAIL",
"credential": "ARNP C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ARNP1326002",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP1326002",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00089075",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sun City Center, FL
- Esta S Minaie, DPT
- Diane Miramon
- Kishore Kumar Mittapalli
- MJ Healthy Mind Therapy Solutions, LLC
- Heather Mobley, COTA
- Alison Moore, L.C.S.W.
- Jessica Mould, PHARMD
- Musculoskeletal Institute Chartered
- Musculoskeletal Institute Chartered (Florida Orthopaedic Institute)
- Musculoskeletal Institute Chartered (Florida Orthopaedic Institute)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.