Individual provider Active NPI

Martona Moody, NP

  • Nurse Practitioner
  • Milford, DE
National Provider Identifier
1831481761
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LP-0010371 Issued in DE
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

Updated by the provider on May 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200813001098 DE Practitioner - Nurse Practitioner 2365868973 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
L1-0040096DEMDRegistered Nurse
LP-0010371DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A Peaceful Place Integrated Care CurrentSince Apr 15, 2022 Accepting new patients
Alignmed Partners, PC CurrentSince Jul 10, 2020 Accepting new patients
Lighthouse Community Support Nurse Practitioner CurrentSince Oct 6, 2024 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.

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

Verify at the official NPI Registry.