KIMBERLY MOODY


Address: 4588 N Rancho Dr, # 12, Las Vegas, NV 89130-3426
Phone: 7023384697

KIMBERLY MOODY (NPI# 1407163587) 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) 1407163587
Entity Type Individual
Full Name KIMBERLY MOODY
Practice Address 4588 N Rancho Dr
# 12
Las Vegas
NV 89130-3426
Mailing Address 4160 S. Pecos St 17
Las Vegas
NV 89121-5027
Practice Telephone 7023384697
Practice Fax Number 7023966164
Mailing Telephone 7023963464
Mailing Fax Number 7023966164
Enumeration Date 2010-09-09
Last Update Date 2012-09-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225400000X Rehabilitation Practitioner Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers KIMBERLY MOODY

NPI Name Taxonomy Address Enumeration
1679871594 Kimberly Moody Pharmacist 5300 Tallman Ave Nw Rm Sw272, Seattle, WA 98107-3932 2011-03-01
1780842500 Kimberly A Moody Nurse's Aide 5345 Meadow Park Dr, Kent, OH 44240-5655 2008-05-29
1326577883 Kimberly Moody Case Manager/Care Coordinator 1005 Balcom Ln, Trumann, AR 72472-9502 2017-06-08
1619345006 Kimberly Anne Moody Counselor 1735 Mission St, San Francisco, CA 94103-2417 2015-09-02

Office Location

Street Address 4588 N RANCHO DR
# 12
City LAS VEGAS
State NV
Zip Code 89130-3426

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548325012 Kimberly Gibson Counselor 4588 N Rancho Dr, Suite 12, Las Vegas, NV 89130-3426 2006-12-26
1467762880 Ricardo Henriquez Rehabilitation Practitioner 4588 N Rancho Dr, #12, Las Vegas, NV 89130-3426 2010-10-19
1104136944 Zina Willingham Rehabilitation Practitioner 4588 N Rancho Dr, Las Vegas, NV 89130-3426 2010-10-14
1255648325 Yolanda Castanon Rehabilitation Practitioner 4588 N Rancho Dr, 12, Las Vegas, NV 89130-3426 2010-09-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295374031 Mindworks Behavioral Health & Medical Center Clinic/Center 7495 W. Azure Dr., Ste. 240, Las Vegas, NV 89130 2019-12-26
1669033833 Doran Gaston Behavioral Analyst 3560 N Rancho Dr., Suite 109, Las Vegas, NV 89130 2019-06-27
1700447547 Lakeisha Lloved Behavioral Analyst 3650 N Ranch Dr., Suite 109, Las Vegas, NV 89130 2019-06-24
1952962797 Dana Lloved Behavioral Analyst 5650 N. Rancho Dr., 109, Las Vegas, NV 89130 2019-06-24
1316501596 Positively Therapy Counselor 5071 N Rainbow Blvd #170, Las Vegas, NV 89130 2019-04-23
1427518356 Rebecca Aragon Behavioral Analyst 5803 West Craig Road, Las Vegas, NV 89130 2019-03-25
1568929198 Clear Choice Therapeutic Center, LLC Community/Behavioral Health 4079 North Rancho Drive, Suite 160, Las Vegas, NV 89130 2019-03-01
1699239095 Jennifer Lee Kearns Rehabilitation Practitioner 3680 N Racho Drive, Las Vegas, NV 89130 2019-01-30
1730651852 Sunrise Adult Day Care Clinic/Center 3930 Leon Ave #130, Las Vegas, NV 89130 2018-12-31
1376015685 Sunrise Adult Day Care Clinic/Center 3930 Leon Ave Suite # 130, Las Vegas, NV 89130 2018-12-27
Find all providers in zip 89130

Taxonomy Information

Taxonomy Code 225400000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Rehabilitation Practitioner

Taxonomy Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427656438 Brittney Mary Sobwick Rehabilitation Practitioner 8360 W Sahara Ave Ste 230, Las Vegas, NV 89117-8945 2020-10-12
1184234544 Karina Mandello Rehabilitation Practitioner 8250 N Grand Canyon Dr Unit 2121, Las Vegas, NV 89166-3734 2020-07-31
1730797408 Jeffrey Michael Stovall Rehabilitation Practitioner 7037 Fort Union Ct, Las Vegas, NV 89179-1206 2020-07-20
1194333716 Francisco Javier Robles Rehabilitation Practitioner 2810 W Charleston Blvd Ste H77, Las Vegas, NV 89102-1921 2020-07-20
1073121836 Genna Villanueva Rehabilitation Practitioner 6612 Sand Bench Ave, Las Vegas, NV 89130-4801 2020-07-17
1861000895 Carolyn Mccrae Rehabilitation Practitioner 11245 Vintners Ln, Las Vegas, NV 89138-1503 2020-07-15
1871119404 Andrew Hunt Rehabilitation Practitioner 9557 Green Spruce St, Las Vegas, NV 89123-3573 2020-06-19
1861018566 Tshawnalyn Alize Nicole Puryear Rehabilitation Practitioner 6300 W Tropicana Ave Trlr 159, Las Vegas, NV 89103-4422 2020-06-19
1962024661 Ernestina Huerta Rehabilitation Practitioner 6933 Cobblestone Ave, Las Vegas, NV 89145-5349 2020-05-15
1538789102 Thomas Putnam Rehabilitation Practitioner 7824 Nesting Pine Pl, Las Vegas, NV 89143-4468 2020-04-23
Find all providers in LAS VEGAS

Competitor

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City LAS VEGAS
Zip Code 89130

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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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