ANGELA MARIE MOODIE


Address: 921 Redwood St, Daytona Beach, FL 32117-4571
Phone: 3868820063

ANGELA MARIE MOODIE (NPI# 1295221802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295221802
Entity Type Individual
Full Name ANGELA MARIE MOODIE
Practice Address 921 Redwood St
Daytona Beach
FL 32117-4571
Practice Telephone 3868820063
Mailing Telephone 3868820063
Enumeration Date 2018-07-06
Last Update Date 2018-07-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 9185253 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 921 REDWOOD ST
City DAYTONA BEACH
State FL
Zip Code 32117-4571

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992350409 Erin Selfridge Pharmacist 1500 Beville Rd #300, Daytona Beach, FL 32117 2019-08-02
1881185494 Wellspring Health, LLC Chiropractor 701 Ridgewood Ave, Holly Hills, FL 32117 2018-05-21
1780172791 L & L Db, LLC Clinic/Center 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 2018-04-25
1154837789 Brittany Nikolow Nurse Practitioner 1717 N. Clyde Morris, Daytona Beach, FL 32117 2017-12-19
1205356946 Alejandro Andre Pabon Rodriguez Nurse Anesthetist, Certified Registered Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 2017-06-23
1316492135 Ann Van Herck Physical Therapist 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 2016-08-22
1952784779 Kathryn Brenna Copley Nurse Practitioner 1890 Lpga Blvd., Daytona Beach, FL 32117 2015-06-30
1053719559 Alicia Graham Case Manager/Care Coordinator 1570 Megan Bay Circle, Holly Hill, FL 32117 2014-12-15
1578974440 Halifax Senior Care Inc Clinic/Center 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 2014-05-14
1013345883 Kist Alf, Inc Assisted Living Facility 1516 Carmen Avenue, Daytona Beach, FL 32117 2013-10-14
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225640063 Kathleen Jenkins Nurse Practitioner 303 N Clyde Morris Blvd Ste 550, Daytona Beach, FL 32114-2709 2020-08-22
1841765047 Anna L Smith Nurse Practitioner 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 2018-10-04
1669965000 Jordan Roberson Nurse Practitioner 305 Memorial Medical Pkwy Ste 301, Daytona Beach, FL 32117-5157 2018-06-11
1154837789 Brittany Nikolow Nurse Practitioner 1717 N. Clyde Morris, Daytona Beach, FL 32117 2017-12-19
1417472242 Roshanda K. Ivey Nurse Practitioner 1001 Great Oaks Dr, Daytona Beach, FL 32117-3124 2017-08-14
1154751634 Janet M Mayo Nurse Practitioner 303 N Clyde Morris Blvd Fl 32114, Daytona Beach, FL 32114-2709 2013-11-19
1811106222 Ellen M Dethloff Nurse Practitioner 303 N Clyde Morris Blvd # 8e, Coordinator Education-clinical Affiliates, Daytona Beach, FL 32114-2709 2007-05-22
1417001611 Marianne Sweeney Nurse Practitioner 431 So. Keech Street, Halifax Health Keech Center, Daytona Beach, FL 32114-4623 2007-01-23
1770514564 Valerie Karen Messina Nurse Practitioner 140 S Beach St Ste 202, Daytona Beach, FL 32114-4409 2006-07-06
1548239874 Theresa Ann Purcell Nurse Practitioner 695 N Clyde Morris Blvd, Daytona Beach, FL 32114 2006-03-17
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City DAYTONA BEACH
Zip Code 32117

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Dataset Information

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.

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