Active NPI
Fonda Moody, FON TRANS
- Home Health Aide
- Oakland, TN
National Provider Identifier
1588020135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 50 Harbor Oaks CV
Oakland, TN 38060-6069 - Phone
- (901) 355-4258
- NPI assigned
- Jan 13, 2016
- Last updated
- Jan 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary | ||
| Military Health Care Provider | 171000000X | |||
| Driver | 172A00000X | |||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
50 Harbor Oaks CV
Oakland, TN 38060-6069
Mailing address
50 Harbor Oaks CV
Oakland, TN 38060-6069
Phone (901) 355-4258
Other names 1
- Fonda Moody
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fon Trans | Home Health Aide | Past | 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": "1452643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1588020135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 HARBOR OAKS CV",
"city": "OAKLAND",
"state": "TN",
"postal_code": "380606069",
"telephone_number": "901-355-4258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 HARBOR OAKS CV",
"city": "OAKLAND",
"state": "TN",
"postal_code": "380606069",
"telephone_number": "901-355-4258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "FONDA",
"credential": "FON TRANS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-13",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FONDA",
"last_name": "MOODY",
"credential": "FON TRANS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oakland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.