MICHELLE LYNN MOODY (NPI# 1740491976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740491976 |
| Entity Type | Individual |
| Full Name | MICHELLE LYNN MOODY |
| Credential | RASI |
| Practice Address |
440 Arrowood Dr Santa Rosa CA 95407-7503 |
| Practice Telephone | 7072842950 |
| Practice Fax Number | 7072822955 |
| Mailing Telephone | 7072842950 |
| Mailing Fax Number | 7072822955 |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609250828 | Michelle Moody | Technician, Other | 7814 Calhoun St, Dearborn, MI 48126-1151 | 2015-07-17 |
| 1881899185 | Michelle Sheila Moody | Homeopath | 1381 N Shore Diamond Lake Rd, Newport, WA 99156-8366 | 2007-06-18 |
| 1770606550 | Michelle Moody | Social Worker | 12364 Environment Center Rd, Holt, FL 32564 | 2007-04-09 |
| 1558855593 | Michelle Leigh Moody | Behavior Technician | 2285 Benden Dr, Wooster, OH 44691-2568 | 2018-06-21 |
| 1073804142 | Michelle E Moody | Dietitian, Registered | 1000 Locust St, Reno, NV 89502-2597 | 2011-04-25 |
| 1265651277 | Michelle Marie Moody | Massage Therapist | 677 Woodland Square Loop Se, Lacey, WA 98503-1000 | 2007-04-25 |
| Street Address |
440 ARROWOOD DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407-7503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790996924 | Elizabeth Mae Hanner | Counselor | 440 Arrowood Dr, Santa Rosa, CA 95407-7503 | 2007-05-28 |
| 1154929610 | Davey Wade Cameron II | Counselor | 440 Arrowood Dr, Santa Rosa, CA 95407-7503 | 2020-10-15 |
| 1427662063 | Zachary Anthony Tendick | Counselor | 440 Arrowood Dr, Santa Rosa, CA 95407-7503 | 2020-09-01 |
| 1124655402 | Chris Handley | Counselor | 440 Arrowood Dr, Santa Rosa, CA 95407-7503 | 2020-03-25 |
| 1649813221 | Camille Lafleur Voye | Counselor | 440 Arrowood Dr, Santa Rosa, CA 95407-7503 | 2019-10-25 |
| 1942842802 | Angelica Goss | Counselor | 440 Arrowood Dr, Santa Rosa, CA 95407-7503 | 2019-10-11 |
| 1104471135 | David Allen Logue II | Counselor | 440 Arrowood Dr, Santa Rosa, CA 95407-7503 | 2019-08-06 |
| 1013574490 | Tammy Lynn Rompelman | Counselor | 440 Arrowood Dr, Santa Rosa, CA 95407-7503 | 2019-05-21 |
| 1366905051 | Marc Jay Pedersen | Counselor | 440 Arrowood Dr, Santa Rosa, CA 95407-7503 | 2019-04-09 |
| 1639658123 | Pablo Carsillo | Counselor | 440 Arrowood Dr, Santa Rosa, CA 95407-7503 | 2018-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| Find all providers in zip 95407 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568089803 | Joan Colombo | Counselor | 1450 Neotomas Ave, Santa Rosa, CA 95405-7537 | 2020-07-02 |
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1568005205 | Angela Tejeda | Counselor | 35555 Sonoma Hwy, Santa Rosa, CA 95409 | 2019-10-25 |
| 1780147538 | Aimee Noelle Krzywicki | Counselor | 2403 Professional Dr Ste 102, Santa Rosa, CA 95403-3007 | 2019-04-09 |
| 1811487903 | Michael Armand Maritzen | Counselor | 2245 Challenger Way # 100, Santa Rosa, CA 95407-5418 | 2018-05-14 |
| 1922520527 | Robert John Lotero | Counselor | 7104 Oak Leaf Dr, Santa Rosa, CA 95409-6028 | 2017-07-14 |
| 1184153728 | Amanda Christina Gomez-hernandez | Counselor | 2400 County Center Dr Ste B, Santa Rosa, CA 95403-3004 | 2017-06-07 |
| 1225577968 | Kari Kenyon | Counselor | 1380 Wright St Apt 8, Santa Rosa, CA 95404-3437 | 2017-02-14 |
| 1013368083 | Stanley Bragg Jr. | Counselor | 6119 Montecito Blvd Apt 12, Santa Rosa, CA 95409-2969 | 2016-06-30 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
Please comment or provide details below to improve the information on MICHELLE LYNN 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.