Individual provider Active NPI

Donna Gail Moody, ARNP C

  • Adult Health Nurse Practitioner
  • Sun City Center, FL
National Provider Identifier
1497788467
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP1326002 Issued in FL
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

Updated by the provider on Aug 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00089075OtherFLRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040108000908 FL Practitioner - Nurse Practitioner 6305745290 Reassigns benefits to 1 organization

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
Hightower Dermatology Services, LLCGroup PAC ID 7315189578, 5 clinicians

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 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP1326002FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hightower Dermatology Services, LLC Dermatology CurrentSince Jun 1, 2015 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

  • FHIR API: https://api.platform.athenahealth.com/7320/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.