Individual provider Active NPI

Nashema Cameala Moodie

  • Nurse's Aide
  • Newburgh, NY
National Provider Identifier
1689311748
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
343475461013E Issued in NY
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

Updated by the provider on May 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DriverGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
793558618NYMDDriver
343475461013ENYMDNurse'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.

Verify at the official NPI Registry.