Melody Lynne Moody, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

E1877 Issued in AR

Practice address

1700 Harrison St
Suite N
Batesville, AR 72501

Phone

(870) 262-2000

Fax

(870) 262-2210

NPI assigned

Feb 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melody.moody.1@13831.direct.athenahealth.com

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.

• White River Health System Inc

  • Rural Health Clinic/Center
  • Cave City, AR
  • NPI 1568442127

  AR

  Medicare reassignment NPD
• White River Health System, Inc.

  • Rural Health Clinic/Center
  • Batesville, AR
  • NPI 1134298268

  AR, Pediatrics

  Medicare reassignment NPD
• White River Health System, Inc.

  • Rural Health Clinic/Center
  • Mountain View, AR
  • NPI 1457396616

  AR

  Medicare reassignment NPD
• White River Health System, Inc.

  • Rural Health Clinic/Center
  • Cherokee Village, AR
  • NPI 1568432144

  AR

  Medicare reassignment NPD
• White River Health System, Inc.

  • Certified Registered Nurse Anesthetist
  • Batesville, AR
  • NPI 1083962286
  NPD
• White River Health System, Inc.

  • Rural Health Clinic/Center
  • Batesville, AR
  • NPI 1104275486
  NPD
• White River Health System, Inc.

  • Rural Health Clinic/Center
  • Newark, AR
  • NPI 1467519249
  NPD
• White River Health System, Inc.

  • Rural Health Clinic/Center
  • Melbourne, AR
  • NPI 1477523348
  NPD
• White River Health System, Inc.

  • Family Medicine Physician
  • Batesville, AR
  • NPI 1881050334
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1689640641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HARRISON ST",
            "address_2": "SUITE N",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "72501",
            "telephone_number": "870-262-2000",
            "fax_number": "870-262-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HARRISON ST",
            "address_2": "SUITE N",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "72501",
            "telephone_number": "870-262-2000",
            "fax_number": "870-262-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "MELODY",
        "middle_name": "LYNNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E1877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135172001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Michelle Mize, APRN
• MKJD, LLC
• MKJD, LLC
• Ashley Montgomery
• Lackey Gene Moody, M.D.
• Jennifer Moon, LCSW
• Anna Moore, NP
• Brandy M Moore, APRN
• Jefferson Wilburn Moore Jr., APN
• Myra Colleen Moore, DNP, APRN, FNP-C

• All providers in Batesville, AR
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.