Individual provider Active NPI

Michelle Sheila Moody, L.M.P.

  • Homeopath
  • Newport, WA
National Provider Identifier
1881899185
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomeopathTaxonomy code 175L00000X
License
MA00012560 Issued in WA
Practice address
1381 N Shore Diamond Lake Rd
Newport, WA 99156-8366
Phone
(509) 671-2541
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homeopath 175L00000X MA00012560 WA Primary

Addresses

Primary practice location

1381 N Shore Diamond Lake Rd
Newport, WA 99156-8366

Mailing address

1381 N Shore Diamond Lake Rd
Newport, WA 99156-8366
Phone (509) 671-2541

Other names 1

  • Mrs. Michelle Sheila Moody Other name

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

LicenseStateTypeSpecialty
MA00012560WAMDHomeopath

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1881899185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 N SHORE DIAMOND LAKE RD",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991568366",
            "telephone_number": "509-671-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 N SHORE DIAMOND LAKE RD",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991568366",
            "telephone_number": "509-671-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "MICHELLE",
        "middle_name": "SHEILA",
        "name_prefix": "Mrs.",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": "WA",
            "license": "MA00012560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MOODY",
            "middle_name": "SHEILA",
            "prefix": "MRS.",
            "credential": "L.M.P.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newport, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.