Individual provider Active NPI

Leslie Diane Moody, CNM

  • Advanced Practice Midwife
  • Kalispell, MT
National Provider Identifier
1679245997
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
NUR-APRN-LIC-179040 Issued in MT
Practice address
165 Commons Loop Ste a
Kalispell, MT 59901-1919
Phone
(406) 858-8009
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NUR-APRN-LIC-179040 MT Primary

Addresses

Primary practice location

165 Commons Loop Ste a
Kalispell, MT 59901-1919

Mailing address

176 Ali Loop
Kalispell, MT 59901-1210
Phone (406) 471-0900

Other practice location 1

210 Sunnyview Ln Ste 201
Kalispell, MT 59901-3128
Phone (406) 751-8009

Other practice location 2

210 Sunnyview Ln Ste 206
Kalispell, MT 59901-3135
Phone (064) 751-8009

Other practice location 3

210 Sunnyview Ln Ste 205
Kalispell, MT 59901-3128
Phone (406) 751-8009

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Krmcmedicalrecords@krhdirect.org Direct Kalispell Regional Medical Center, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211209002037 MT Practitioner - Certified Nurse Midwife (CNM) 6406246263 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kalispell Regional Medical Center IncGroup PAC ID 5294644381, 422 clinicians

Practice addresses (Care Compare)

310 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 751-6725

320 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 756-3526

350 Heritage Way
Kalispell, MT 59901-3167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-179040MTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Kalispell Midwives & Womens Health Inc Advanced Practice Midwife CurrentSince Oct 1, 2021 Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Jun 16, 2024 Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Jun 16, 2024 Accepting new patients
Kalispell Regional Medical Center, Inc PastSince Oct 1, 2021 Accepting new patients
Kalispell Regional Medical Center Inc Past Accepting new patients
Kalispell Regional Medical Center, Inc Past Accepting new patients

Locations

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

165 Commons Loop
Ste A
Kalispell, MT 59901
Phone (406) 212-0214

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

210 Sunnyview Ln
Ste 201
Kalispell, MT 59901
Phone (406) 752-5252

210 Sunnyview Ln
Ste 205
Kalispell, MT 59901
Phone (406) 751-8009

210 Sunnyview Ln
Ste 206
Kalispell, MT 59901
Phone (406) 751-8009

Interoperability endpoints

  • Direct secure messaging: krmcmedicalrecords@krhdirect.org
  • Direct secure messaging: kalispellmidwives.lesliemoody@149830.advancedmd-direct.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1679245997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 ALI LOOP",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011210",
            "telephone_number": "406-471-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 COMMONS LOOP STE A",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011919",
            "telephone_number": "406-858-8009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Sunnyview Ln Ste 201",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013128",
            "country_code": "US",
            "telephone_number": "406-751-8009",
            "fax_number": "406-758-3269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Sunnyview Ln Ste 206",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013135",
            "country_code": "US",
            "telephone_number": "064-751-8009",
            "fax_number": "406-758-3269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Sunnyview Ln Ste 205",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013128",
            "country_code": "US",
            "telephone_number": "406-751-8009",
            "fax_number": "406-758-3269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOODY",
        "first_name": "LESLIE",
        "middle_name": "DIANE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MT",
            "license": "NUR-APRN-LIC-179040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "210 Sunnyview Ln Ste 206",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.