Donna Moodie, RD CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

896131 Issued in NY

Practice address

1556 Straight Path
Wyandanch, NY 11798-3213

Phone

(631) 854-1700

NPI assigned

Sep 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

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.

• County of Suffolk

  dba Bureau of Public Health Nursing-LTHC

  • Home Health Agency
  • Great River, NY
  • NPI 1497859615
  NPD (past)
• County of Suffolk

  • Methadone Clinic
  • Smithtown, NY
  • NPI 1649374851
  NPD (past)
• County of Suffolk

  dba Brentwood Family Health Center

  • Clinic/Center
  • Brentwood, NY
  • NPI 1851321152
  NPD (past)
• County of Suffolk

  dba Bureau of Public Health Nursing - CHHA

  • Home Health Agency
  • Great River, NY
  • NPI 1871506055
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568568236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 GREENHAVEN WAY",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211607",
            "telephone_number": "631-261-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 STRAIGHT PATH",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117983213",
            "telephone_number": "631-854-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODIE",
        "first_name": "DONNA",
        "credential": "RD CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "896131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Mercado
• Diane Louise Mercer, CASAC-T
• Fafart Michel, LPN
• Robert Miles, CASAC-T
• Modern Dental Concepts of Ny, PC
• Thomas Haywood Moore, PT, DPT
• Vermilyea Moore
• Mor Drugs Inc
• Lazara Morejon, LMSW
• Josephine Narcisse, MA, LMHC

• Registered Dietitian in Wyandanch, NY
• Providers in Wyandanch, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.