Active NPI
Martona Moody, NP
- Nurse Practitioner
- Milford, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- LP-0010371
- Practice address
- 700 Marvel Rd
Milford, DE 19963-1740 - Phone
- (302) 422-3303
- NPI assigned
- May 11, 2011
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | LP-0010371 | DE | Primary |
| Registered Nurse | 163W00000X | L1-0040096 | DE |
Addresses
Primary practice location
700 Marvel Rd
Milford, DE 19963-1740
Mailing address
515 Fairmount Ave FL 8
Towson, MD 21286-5466
Phone (410) 726-4591
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0040096 | DE | MD | Registered Nurse |
| LP-0010371 | DE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Peaceful Place Integrated Care | Current | Accepting new patients | |
| Alignmed Partners, PC | Current | Accepting new patients | |
| Lighthouse Community Support | Nurse Practitioner | Current | Accepting new patients |
Locations
1001 S Bradford St
Ste 7
Dover, DE 19904
Phone (302) 264-9436
600 W Division St
#B
Dover, DE 19904
Phone (267) 815-4350
700 Marvel Rd
Milford, DE 19963
Phone (302) 422-3303
715 E King St
Seaford, DE 19973
Phone (302) 536-5628
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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DE
-
- Nurse Practitioner
- Dover, DE
- NPI 1568280592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651622400000",
"number": "1831481761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 FAIRMOUNT AVE FL 8",
"city": "TOWSON",
"state": "MD",
"postal_code": "212865466",
"telephone_number": "410-726-4591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 MARVEL RD",
"city": "MILFORD",
"state": "DE",
"postal_code": "199631740",
"telephone_number": "302-422-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "MARTONA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-11",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LP-0010371",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DE",
"license": "L1-0040096",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.