Active NPI
Corinne Williams Moody, DPH
- Pharmacist
- Brentwood, TN
National Provider Identifier
1821795857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 33154
- Practice address
- 9305 Fall CT W
Brentwood, TN 37027-3334 - Phone
- (615) 218-1963
- NPI assigned
- Feb 9, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051036378 | IL | |
| Pharmacist | 183500000X | 33154 | TN | Primary |
Addresses
Primary practice location
9305 Fall CT W
Brentwood, TN 37027-3334
Mailing address
9305 Fall CT W
Brentwood, TN 37027-3334
Phone (615) 218-1963
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 |
|---|---|---|---|
| 051036378 | IL | MD | Pharmacist |
| 33154 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1821795857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9305 FALL CT W",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370273334",
"telephone_number": "615-218-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9305 FALL CT W",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370273334",
"telephone_number": "615-218-1963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "CORINNE",
"middle_name": "WILLIAMS",
"credential": "DPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-09",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051036378",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "33154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.