MS. LAREE PRUITT MOODY (NPI# 1609108372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609108372 |
| Entity Type | Individual |
| Full Name | MS. LAREE PRUITT MOODY |
| Credential | RN |
| Practice Address |
910 N Jefferson St Jacksonville FL 32209-6810 |
| Practice Telephone | 9043607070 |
| Practice Fax Number | 9047984559 |
| Mailing Telephone | 9043607070 |
| Mailing Fax Number | 9047984559 |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN9298774 | FL | Nursing Service Providers |
| Street Address |
910 N JEFFERSON ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32209-6810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538129002 | Managed Access To Child Health Inc | Case Management | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2006-03-27 |
| 1205467230 | Isabella M Hower | Occupational Therapist | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2020-01-29 |
| 1053808907 | Franchescka Kephart | Social Worker | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2018-04-17 |
| 1144717083 | Brandie Crawley | Social Worker | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2018-04-17 |
| 1992216055 | Cristina Solimeno | Physical Therapist | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2017-10-17 |
| 1083135248 | Yesenia Ivette Moss | Case Manager/Care Coordinator | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2017-06-28 |
| 1760903983 | John Roberts | Case Manager/Care Coordinator | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2017-06-28 |
| 1124473509 | Rebecca Kickham | Speech-Language Pathologist | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2016-05-04 |
| 1184084576 | Kaitlin Dudziec | Occupational Therapist | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2016-02-29 |
| 1538527999 | Anthony Cogdell | Social Worker | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2016-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
| 1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
| 1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
| 1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
| 1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| Find all providers in zip 32209 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274490 | Kimberly Bell | Registered Nurse | 8243 Garden View Ct, Jacksonville, FL 32256-7164 | 2020-10-30 |
| 1366938714 | Charlene Lavette Williams | Registered Nurse | 11307 Nettlebrook St E, Jacksonville, FL 32218-1006 | 2018-07-09 |
| 1366687634 | Mary Marlene Darragh | Registered Nurse | 123 Alabama Dr, Jacksonville, AR 72076-1002 | 2008-12-15 |
| 1477597680 | Kelly Lynne Broekhof | Registered Nurse | Bldg 2104 Massey Ave, Naval Station Mayport, Jacksonville, FL 32222 | 2006-06-16 |
| 1538778683 | Kristen C Munroe | Registered Nurse | 12724 Gran Bay Pkwy W Ste 150, Jacksonville, FL 32258-9486 | 2020-07-24 |
| 1346475068 | Melana Andreu Smith | Registered Nurse | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2009-05-26 |
| 1811185465 | Valerie Anne Beasley | Registered Nurse | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2007-10-09 |
| 1629266283 | Laci Adrianne Holmes | Registered Nurse | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2007-10-09 |
| 1144383019 | Debra Warren Reiley | Registered Nurse | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2006-12-19 |
| 1518020460 | Linda Lou Garcia | Registered Nurse | 515 West 6th Street, Center for Women and Children, Jacksonville, FL 32206 | 2006-12-19 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32209 |
Please comment or provide details below to improve the information on MS. LAREE PRUITT 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.