MRS. BROOKE SHOEMAKER MOODY (NPI# 1154608859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154608859 |
| Entity Type | Individual |
| Full Name | MRS. BROOKE SHOEMAKER MOODY |
| Credential | CRNP |
| Practice Address |
70 Freedom Drive Scottsboro AL 35769-3763 |
| Mailing Address |
21680 Al Highway 79 Scottsboro AL 35768-5904 |
| Practice Telephone | 2565745508 |
| Practice Fax Number | 2562592727 |
| Mailing Telephone | 2565873050 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2019-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-116290 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
70 FREEDOM DRIVE |
| City | SCOTTSBORO |
| State | AL |
| Zip Code | 35769-3763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528115607 | Northeast Alabama Health Services, Inc. | Clinic/Center | 70 Freedom Drive, Scottsboro, AL 35769-3763 | 2007-01-04 |
| 1679759146 | Melinda Pace Clark | Counselor | 70 Freedom Drive, Scottsboro, AL 35769-3763 | 2008-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831718535 | Healthpointe | Internal Medicine | 24020 John T Reid Pkwy, Scottsboro, AL 35769 | 2020-04-13 |
| 1780192765 | Family First Medicine LLC | Family Medicine | 1601 Veterans Drive, Scottsboro, AL 35769 | 2018-01-12 |
| 1023566205 | Allyscripts LLC | Pharmacy | 201 Lonnie E Crawford Blvd, Suite B, Scottsboro, AL 35769 | 2016-09-15 |
| 1386971257 | Jonathan Wallace Gurr | Pediatrics | 23800 John T. Reid Pkwy, Scottsboro, AL 35769 | 2009-11-12 |
| 1174645923 | The Arc of Jackson County | Day Training, Developmentally Disabled Services | 180 Mack Morris Drive, Scottsboro, AL 35769 | 2007-04-04 |
| 1588742233 | State of Alabama Department of Public Health | Home Health | 294 Liberty Lane, Scottsboro, AL 35769 | 2006-11-01 |
| 1851463368 | State of Alabama Department of Public Health | Home Health | 294 Liberty Lane, Scottsboro, AL 35769 | 2006-11-14 |
| 1598319121 | Stacy Kennamer | Occupational Therapist | 157 Brad St, Scottsboro, AL 35769-3419 | 2019-07-31 |
| 1376864132 | Laurel Rico | Occupational Therapist | 692 Ruby Johnson Dr, Scottsboro, AL 35769-3633 | 2010-06-16 |
| 1497848063 | Douglass Vance | Military Health Care Provider | 264 Belle Dr, Scottsboro, AL 35769-3652 | 2006-10-02 |
| Find all providers in zip 35769 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972120608 | Coty Phillips | Nurse Practitioner | 1508 S Broad St Ste 200, Scottsboro, AL 35768-2668 | 2020-06-29 |
| 1710546122 | Kristen Lockmiller | Nurse Practitioner | 406 Taylor St, Scottsboro, AL 35768-2403 | 2019-06-10 |
| 1588178719 | Dara Dewberry Rogers | Nurse Practitioner | 913 S Broad St, Scottsboro, AL 35768-2509 | 2017-11-27 |
| 1306201611 | Sommer Porch | Nurse Practitioner | 1302 S Broad St, Scottsboro, AL 35768-2605 | 2015-12-31 |
| 1568094597 | Jennifer Jones | Nurse Practitioner | 23800 John T Reid Pkwy, Scottsboro, AL 35768-2841 | 2020-02-07 |
| 1528613122 | Jana Jackson | Nurse Practitioner | 505 Burlington St, Scottsboro, AL 35768-4216 | 2019-08-09 |
| 1326524091 | Melissa Fay Nevitt | Nurse Practitioner | 1508 S Broad St Ste 300, Scottsboro, AL 35768 | 2018-07-16 |
| 1003392002 | Marla Byrum | Nurse Practitioner | 412 W Cloverdale Rd, Scottsboro, AL 35768-4264 | 2018-07-13 |
| 1609386283 | Amy Pedigo Ballard | Nurse Practitioner | 21680 Al Highway 79, Scottsboro, AL 35768-5904 | 2017-10-09 |
| 1104342294 | Laura C Walls | Nurse Practitioner | 1508 S Broad St Ste 300, Scottsboro, AL 35768-2668 | 2017-08-21 |
| Find all providers in SCOTTSBORO | ||||
| City | SCOTTSBORO |
| Zip Code | 35769 |
Please comment or provide details below to improve the information on MRS. BROOKE SHOEMAKER MOODY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.