Individual provider Active NPI

Monique Danielle Moody, CPT, CMA,DSP

  • Phlebotomy Technician
  • Glendale, AZ
National Provider Identifier
1720936651
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
INST3437836425 Issued in MI
Practice address
7780 N 57TH LN
Glendale, AZ 85301-7872
Phone
(480) 407-9396
NPI assigned
Mar 17, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X 2025B09366 AZ
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X 2025B09366 AZ
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X 2025B09366 AZ
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X 2025B09366 AZ
Phlebotomy TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246RP1900X INST3437836425 MI Primary

Addresses

Primary practice location

7780 N 57TH LN
Glendale, AZ 85301-7872

Mailing address

7780 N 57TH LN
Glendale, AZ 85301-7872
Phone (480) 407-9396

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address monaleighsa@zohomail.com Health Information Exchange (HIE)

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
Credentials
Certified Medical Assistant

State licenses

LicenseStateTypeSpecialty
INST3437836425MIMDPhlebotomy Technician
2025B09366AZMDAttendant Care Provider

Practice roles

OrganizationSpecialtyStatusNew patients
M-Tee's Mobile Medical Services Multi-Specialty Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: monaleighsa@zohomail.com

Organizations & group practices 1

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": "1773705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1720936651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 N 57TH LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853017872",
            "telephone_number": "480-407-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 N 57TH LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853017872",
            "telephone_number": "480-407-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "MONIQUE",
        "middle_name": "DANIELLE",
        "credential": "CPT, CMA,DSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": "AZ",
            "license": "2025B09366",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": "AZ",
            "license": "2025B09366",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "AZ",
            "license": "2025B09366",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "AZ",
            "license": "2025B09366",
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "MI",
            "license": "INST3437836425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "monaleighsa@zohomail.com",
            "affiliation": "N",
            "endpointDescription": "Protected Information Inbox",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7780 N 57th Ln",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853017872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.