Audrey Moody, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1099816 Issued in TX

Practice address

9422 Copperway
Converse, TX 78109-2063

Phone

(210) 322-0191

NPI assigned

Dec 2, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elegant Hospice Hospice, San Antonio, TX, CCN 971573

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wits Specialty Clinic PLLC

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1528810439

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Guidingway Healthcare LLC

  • Case Management Agency
  • San Antonio, TX
  • NPI 1346751807
  NPD
• Mindful Innovations Counseling Services, PLLC

  • Multi-Specialty Clinic/Center
  • San Antonio, TX
  • NPI 1487055992
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Elegant Hospice Care LLC

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1548724446
  Care Compare affiliation

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1740990415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9422 COPPERWAY",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092063",
            "telephone_number": "210-322-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9422 COPPERWAY",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092063",
            "telephone_number": "210-322-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "AUDREY",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1099816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Moe, RPH
• Ramiro Molina Jr.
• Martha Mollerstrom, PHARMD
• Sonja Birgid Montgomery, LPC
• Juan David Montoya, M.D.
• Victoria Raquel Moreno, DPT
• Rachael L Morris, LVN
• Takwi Muma, MD
• Miriam Raquel Muniz, DDS
• Jose Miguel Munoz, PARAMEDIC

• Psychiatric/Mental Health Nurse Practitioner in Converse, TX
• Providers in Converse, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.

Verify at the official NPI Registry.