Active NPI
Kristen Moody
- Pharmacist
- Hixson, TN
National Provider Identifier
1538548219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37411
- Practice address
- 8600 Hixson Pike
Hixson, TN 37343-1515 - Phone
- (423) 842-2197
- NPI assigned
- May 27, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 37411 | TN | Primary |
Addresses
Primary practice location
8600 Hixson Pike
Hixson, TN 37343-1515
Mailing address
5312 Anderson Ave
Chattanooga, TN 37412-3216
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37411 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432857600000",
"number": "1538548219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5312 ANDERSON AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374123216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 HIXSON PIKE",
"city": "HIXSON",
"state": "TN",
"postal_code": "373431515",
"telephone_number": "423-842-2197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-27",
"last_updated": "2015-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "37411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.