Vickie Moody, RN BSN
Individual provider Active NPI School Registered Nurse · Clayton, OH
NPI 1669869699 · NPPES record last updated Apr 16, 2015
Key facts
- NPI
- 1669869699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- RN210720 (OH)
- Practice address
- 4916 National Rd
Clayton, OH 45315-9714 - Phone
- (937) 832-6060
- Fax
- (937) 832-6001
- NPI assigned
- Apr 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN210720 | OH | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN210720 | OH | Yes |
Addresses
Primary practice location
4916 National Rd
Clayton, OH 45315-9714
Mailing address
1495 W Evanston Rd
Tipp City, OH 45371-2019
Phone (937) 667-0023
Other providers in Clayton, OH
- Jem Investments, LTD.
- Joy Homes LLC
- Honorine Kibasumba
- Liberty Nursing Center of Englewood Inc
- Alana Moeder
- Bridgette Ann Moore
- Kelli Morris
- Martin K Neal
- Randy Ngarry Nfor
- No Place Like Home Health Agency LLC
All providers in Clayton, OH · School Registered Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.