KATHLEEN ELIZABETH MOUDY (NPI# 1386606093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386606093 |
| Entity Type | Individual |
| Full Name | KATHLEEN ELIZABETH MOUDY |
| Credential | PA |
| Practice Address |
9911 N Nevada St Spokane WA 99218-1298 |
| Mailing Address |
Po Box 421 Liberty Lake WA 99019-0421 |
| Practice Telephone | 5096269430 |
| Practice Fax Number | 5092277070 |
| Mailing Telephone | (509) 252-1900 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2017-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10003530 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8345936 | 05 |
| Street Address |
9911 N NEVADA ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99218-1298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831708833 | Andrea Pizzini | Dentist | 9911 N Nevada St, Spokane, WA 99218-1298 | 2020-07-24 |
| 1174152060 | Marcella Joy Day Staaben | Nurse Practitioner | 9911 N Nevada St, Spokane, WA 99218-1298 | 2020-04-03 |
| 1396293445 | Christina Ann Duncan | Registered Nurse | 9911 N Nevada St, Spokane, WA 99218-1298 | 2016-09-19 |
| 1366843088 | Samantha Todd | Nurse Practitioner | 9911 N Nevada St, Spokane, WA 99218-1298 | 2014-09-12 |
| 1427478692 | Sherry Marie Baker | Pediatrics | 9911 N Nevada St, Spokane, WA 99218-1298 | 2014-04-25 |
| 1902151103 | Kathryn Louise Ormsby | Nurse Practitioner | 9911 N Nevada St, Spokane, WA 99218-1298 | 2012-07-13 |
| 1588951248 | Sarah E Hess | Internal Medicine | 9911 N Nevada St, Spokane, WA 99218-1298 | 2011-07-01 |
| 1437457546 | Cari R Rodgers | Physician Assistant | 9911 N Nevada St, Spokane, WA 99218-1298 | 2011-03-14 |
| 1518115393 | Tiffany M. Ludka-gaulke | Internal Medicine | 9911 N Nevada St, Spokane, WA 99218-1298 | 2008-09-04 |
| 1972709129 | Mark Ernest Gaulke | Internal Medicine | 9911 N Nevada St, Spokane, WA 99218-1298 | 2007-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282455 | Timary Mathena | Specialist/Technologist | 11107 North Astor Road, Spokane, WA 99218 | 2018-04-19 |
| 1619423316 | Hi5 Orthodontics | Clinic/Center | 9425 N Nevaa, Suite 100, Spokane, WA 99218 | 2016-09-01 |
| 1245689389 | Heather Beats | Massage Therapist | 101 E. Hastings Rd. Ste G, Spokane, WA 99218 | 2016-06-09 |
| 1770979411 | Sparks Massage LLC-dba Elements Masssage | Massage Therapist | 101 E. Hastings Rd., Spokane, WA 99218 | 2015-04-09 |
| 1902295363 | Annabelle Morgan | Midwife | 11725 N Lincoln Ct, Spokane, WA 99218 | 2015-01-22 |
| 1578967543 | Deana Marie Ray | Massage Therapist | 1231 N Division, Ste 105, Spokane, WA 99218 | 2014-10-20 |
| 1770909889 | Krista Dye | Occupational Therapist | 9827 N Nevada, Spokane, WA 99218 | 2014-03-13 |
| 1265855845 | Breanna Zeis | Massage Therapist | 624 W. Hastings, Suite 16, Spokane, WA 99218 | 2014-02-02 |
| 1730516642 | Christie Nygaard | Massage Therapist | 101 E. Hastings Rd, Spokane, WA 99218 | 2013-10-09 |
| 1629312749 | Michelle Reid | Community Health Worker | 10709 N Madison, Spokane, WA 99218 | 2012-11-15 |
| Find all providers in zip 99218 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104273648 | Grant Bursell | Physician Assistant | 5316 E Sumac Ln, Spokane, WA 99223-5090 | 2016-05-14 |
| 1881093904 | Jacob Gott | Physician Assistant | 122 W 7th Ave Ste 420, Spokane, WA 99204-2330 | 2014-08-14 |
| 1235215856 | Kurt D Fullmer | Physician Assistant | 406 E Rowan Ave, Suite200, Spokane, WA 99207-1243 | 2006-10-27 |
| 1689782740 | Lori Tschetter | Physician Assistant | 42 E Rowan Ave Ste A, Spokane, WA 99207-1212 | 2006-08-29 |
| 1316973498 | Daniel Ray Keele | Physician Assistant | 4815nwassembly, Spokane, WA 99205 | 2006-06-23 |
| 1750359154 | Terri J Roark | Physician Assistant | 911 W 5th Avenue, Spokane, WA 99204 | 2006-03-10 |
| 1942289392 | Mara Lea Geffken | Physician Assistant | 605 E Holland, Suite 218, Spokane, WA 99218-1246 | 2006-01-13 |
| 1285611665 | Amy M Gregg | Physician Assistant | 105 W 8th, Spokane, WA 99204-2304 | 2005-12-28 |
| 1215913850 | Marc A. Hawkins | Physician Assistant | 310 N Riverpoint Blvd Health Science Bldg #280-j, University of Washington Medex Nw Pa Program, Spokane, WA 99202 | 2005-12-15 |
| 1487210878 | Devon Graves | Physician Assistant | 62 W 7th Ave Ste 450, Spokane, WA 99204 | 2019-05-12 |
| Find all providers in SPOKANE | ||||
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| 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.