Jane Marie Moody, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN5311 Issued in ME

Practice address

Katahdin Valley Health Center
30 Houlton Road
Patten, ME 04765-6221

Phone

(207) 528-2285

NPI assigned

Feb 14, 2018

Last updated

Feb 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1841790144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KATAHDIN VALLEY HEALTH CENTER",
            "address_2": "30 HOULTON ROAD",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "047656221",
            "telephone_number": "207-528-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KATAHDIN VALLEY HEALTH CENTER",
            "address_2": "30 HOULTON ROAD",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "047656221",
            "telephone_number": "207-528-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "JANE",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "ME",
            "license": "RN5311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheridan McCordic
• Justin S McNally, RN
• Wendy Sue McNally, RN
• Melinda Elwell
• Gail M Miller, LPN
• Michelle R. Moscone
• Heidi L Osgood-Evers, RN
• Ronald Denis Ouellette, DC
• Patten Drug LLC
• Patten Drug LLC (Patten Drug Company)

• Community Health Registered Nurse in Patten, ME
• Providers in Patten, ME by specialty
• Community Health Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.