MELISSA MOODY (NPI# 1215364575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215364575 |
| Entity Type | Individual |
| Full Name | MELISSA MOODY |
| Practice Address |
11401 Dr Martin L King St N Apt.2404 St Petersburg FL 33716-2345 |
| Practice Telephone | 2079075035 |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013246156 | Melissa Moody | Psychologist | 25808 Milford Rd, South Lyon, MI 48178-8950 | 2009-12-21 |
| 1679015796 | Melissa Moody | Counselor | 2616 S Clack St, Abilene, TX 79606-1557 | 2016-11-07 |
| 1750505384 | Melissa Ann Moody | Psychiatry & Neurology | 511 Morris St, Charleston, WV 25301-1326 | 2007-04-13 |
| Street Address |
11401 DR MARTIN L KING ST N APT.2404 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33716-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699205815 | Orthopaedic Medical Group of Tampa Bay Pa | Clinic/Center | 10033 Mlk Jr St N Fl 3, St Petersburg, FL 33716 | 2017-06-20 |
| 1316471113 | Sara Alexandra Maltese | Dentist | 871 Ibis Walk Pl N Unit 7201, St Petersburg, FL 33716 | 2017-04-18 |
| 1508229972 | Florida Cardiac Therapeutics, Inc | Internal Medicine | 10033 Doctor M.l.k. Jr St N, Suite 302, St Petersburg, FL 33716 | 2016-04-01 |
| 1720440902 | Valorie Baker | Day Training, Developmentally Disabled Services | 115 112th Ave Ne Apt 627, St Petersburg, FL 33716 | 2016-03-25 |
| 1346611142 | Theresa Bowen | Occupational Therapist | 810 S. Village Drive N, #103, St. Petersburg, FL 33716 | 2015-10-19 |
| 1356775423 | Paula J Smith | Massage Therapist | 400 Carillon Pkwy #130, Mountain Tree Massage, LLC, St. Petersburg, FL 33716 | 2013-08-26 |
| 1699118596 | Kellie L Kintz | Social Worker | 540 Carillon Parkway, Apartment 3026, The Promenade At Carillon, St. Petersburg, FL 33716 | 2013-04-10 |
| 1427398288 | St. Petersburg General Hospital | General Acute Care Hospital | 11850 Doctor Martin Luther King Jr. St. North, Apt 22-312, St Petersburg, FL 33716 | 2013-02-15 |
| 1952657314 | Trudy Anna Glover | Occupational Therapy Assistant | 11850 9th Street North, Apt 20208, St Petersburg, FL 33716 | 2012-08-02 |
| 1275834129 | Prison Rehabilitative Industries & Diversified Enterprises | Dental Laboratory | 12425 28th St. N., Suite 300, St. Petersburg, FL 33716 | 2010-11-09 |
| Find all providers in zip 33716 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740760669 | Dotheria Elaine Bradley | Case Manager/Care Coordinator | 1918 45th St S, St Petersburg, FL 33711-3042 | 2018-08-20 |
| 1902257116 | Anthony Costanzo | Case Manager/Care Coordinator | 5047 2nd Ave N, St Petersburg, FL 33710-8207 | 2016-06-29 |
| 1568823284 | Sisouk Rattanachane | Case Manager/Care Coordinator | 1501 83rd Ave N, St Petersburg, FL 33702-2851 | 2016-03-08 |
| 1952719858 | Elizabeth Lent | Case Manager/Care Coordinator | 350 79th Ave N Apt 302, St Petersburg, FL 33702-4459 | 2014-07-24 |
| 1346653458 | Leslie Swain | Case Manager/Care Coordinator | 7316 33rd St N, St Petersburg, FL 33702-5540 | 2014-06-05 |
| 1558610436 | Jennifer Potter | Case Manager/Care Coordinator | 785 100th Ave N # 108, St Petersburg, FL 33702 | 2012-09-06 |
| 1538418520 | Nanci Nolan | Case Manager/Care Coordinator | 2401 3rd Ave N, St Petersburg, FL 33713-7909 | 2012-09-05 |
| 1932454212 | Carol Rose Opitz | Case Manager/Care Coordinator | 205 Martin Luther King Dr, St Petersburg, FL 33701-3109 | 2012-07-23 |
| 1336438688 | Bridget Denise Herring-daniels | Case Manager/Care Coordinator | 205 Mlk St N, St Petersburg, FL 33701-3109 | 2011-04-06 |
| 1720691595 | Georgette Franklin | Case Manager/Care Coordinator | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-08-31 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33716 |
Please comment or provide details below to improve the information on MELISSA 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.