Brandi Michelle Moody, MCD,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1981 Issued in AR

Practice address

224 Newell Rd
Bald Knob, AR 72010-9629

Phone

(501) 278-9797

NPI assigned

Oct 21, 2008

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

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Central Arkansas Rehabilitation Experts

  • Physical Therapist
  • Sherwood, AR
  • NPI 1033681473

  Speech-Language Pathologist

  Medicare reassignment NPD
• Pro-Kids Therapy, LLC

  • Speech-Language Pathologist
  • Little Rock, AR
  • NPI 1710137500
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1649422692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 WARDEN RD",
            "address_2": "STE 230",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721206015",
            "telephone_number": "501-392-9180",
            "fax_number": "501-392-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 NEWELL RD",
            "city": "BALD KNOB",
            "state": "AR",
            "postal_code": "720109629",
            "telephone_number": "501-278-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "BRANDI",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MCD,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "1981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phillip Moore, D.C.
• Imi Mvere
• Shelly Rutledge, PHARM.D.
• Southern Dental Group Bald Knob, PLLC

• Speech-Language Pathologist in Bald Knob, AR
• Providers in Bald Knob, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.