Deborah Sue Moody, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP114136 Issued in TX

Practice address

201 Posey Ave
Clifton, TX 76634-1200

Phone

(254) 675-8621

Fax

(254) 675-2254

NPI assigned

Dec 3, 2008

Last updated

Jul 28, 2022By 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

Other names 1

• Deborah Sue Garretson Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Bosque County Hospital District

  dba Goodall-Witcher Clinic in Whitney

  • Rural Health Clinic/Center
  • Whitney, TX
  • NPI 1720540255
  Medicare reassignment NPD
• Bosque County Hospital District

  dba Goodall-Witcher Hospital

  • Critical Access Hospital
  • Clifton, TX
  • NPI 1104383371

  Family

  NPD

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1609011725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72",
            "city": "CLIFTON",
            "state": "TX",
            "postal_code": "766340072",
            "telephone_number": "254-675-8621",
            "fax_number": "254-675-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 POSEY AVE",
            "city": "CLIFTON",
            "state": "TX",
            "postal_code": "766341200",
            "telephone_number": "254-675-8621",
            "fax_number": "254-675-2254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 E Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Whitney",
            "state": "TX",
            "postal_code": "766922398",
            "country_code": "US",
            "telephone_number": "254-694-2221",
            "fax_number": "254-694-9978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOODY",
        "first_name": "DEBORAH",
        "middle_name": "SUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP114136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "GARRETSON",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Taylor McCain, DO
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• Jordan Nichols, CCC-SLP
• Martha Lee O'Reilly, MD
• Kyle Dean Phillips, DO
• Pill Box Drive in Pharmacy Inc
• Albert Jacob Puente, LAT, ATC

• Family Nurse Practitioner in Clifton, TX
• Providers in Clifton, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.