Active NPI
Nashema Cameala Moodie
- Nurse's Aide
- Newburgh, NY
National Provider Identifier
1689311748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 343475461013E
- Practice address
- 150 Smith St # 4-02
Newburgh, NY 12550-6839 - Phone
- (845) 307-6880
- NPI assigned
- May 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 793558618 | NY | |
| Nurse's Aide | 376K00000X | 343475461013E | NY | Primary |
Addresses
Primary practice location
150 Smith St # 4-02
Newburgh, NY 12550-6839
Mailing address
150 Smith St # 4-02
Newburgh, NY 12550-6839
Phone (845) 307-6880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 793558618 | NY | MD | Driver |
| 343475461013E | NY | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1689311748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 SMITH ST # 4-02",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125506839",
"telephone_number": "845-307-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 SMITH ST # 4-02",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125506839",
"telephone_number": "845-307-6880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODIE",
"first_name": "NASHEMA",
"middle_name": "CAMEALA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-19",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Driver",
"state": "NY",
"license": "793558618",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NY",
"license": "343475461013E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.