Active NPI
Leslie Diane Moody, CNM
- Advanced Practice Midwife
- Kalispell, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- NUR-APRN-LIC-179040
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-179040 | MT | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalispell Regional Medical Center Inc | Current | Accepting new patients | |
| Kalispell Midwives & Womens Health Inc | Advanced Practice Midwife | Current | Accepting new patients |
| Kalispell Regional Medical Center, Inc | Current | Accepting new patients | |
| Kalispell Regional Medical Center, Inc | Current | Accepting new patients | |
| Kalispell Regional Medical Center, Inc | Past | 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
- krmcmedicalrecords@krhdirect.org
- 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.
-
- General Acute Care Hospital
- Kalispell, MT
- NPI 1417945627
-
- Advanced Practice Midwife
- Kalispell, MT
- NPI 1194392712
-
- Clinic/Center
- Kalispell, MT
- NPI 1235333139
-
- Radiology Clinic/Center
- Whitefish, MT
- NPI 1073362463
-
- Clinic/Center
- Kalispell, MT
- NPI 1770173213
-
- Surgery Physician
- Kalispell, MT
- NPI 1215527403
-
- Gynecology Physician
- Kalispell, MT
- NPI 1689264129
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.