Arnessa Moody
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Laplata, MD
NPI 1851584056 · NPPES record last updated Aug 21, 2007
Key facts
- NPI
- 1851584056
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 6100 Radio Station Road
Laplata, MD 20646 - Phone
- (301) 609-9887
- Fax
- (301) 609-7284
- NPI assigned
- Aug 21, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
6100 Radio Station Road
Laplata, MD 20646
Mailing address
PO Box 2924
La Plata, MD 20646-2984
Phone (301) 609-9887
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58956180 | Medicaid | MD |
Other providers in Laplata, MD
- Opal Jones
- Mindy Krupp
- La Plata Family Chiropractic
- Jean Mathews
- Catherine Meyers
- Alec Muller
- Alicia Marie Nelson
- Barbara B Nunes
- Margaret Parker
- Ann Pearl
All providers in Laplata, MD · Student in an Organized Health Care Education/Training Program in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.