MIKE MOODY (NPI# 1992354120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992354120 |
| Entity Type | Individual |
| Full Name | MIKE MOODY |
| Practice Address |
165 Belle Forest Cir Ste A Nashville TN 37221-2174 |
| Mailing Address |
2708 Moody Rd Clarksville TN 37040-7302 |
| Practice Telephone | 6158525272 |
| Mailing Telephone | 6159829232 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1302 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | STATE OF TENNESSEE | 1302 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043526007 | Mike Lee Moody | Physical Therapy Assistant | 1505 E Steve Owens Blvd, Miami, OK 74354-7917 | 2010-08-27 |
| Street Address |
165 BELLE FOREST CIR STE A |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37221-2174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596489 | Results-ast Jv, LLC | Physical Therapist | 5700 Temple Road, Nashville, TN 37221 | 2020-10-23 |
| 1336754258 | Benjamin David Wilson | Pharmacist | 8110 Hghway 100, Bellevue, TN 37221 | 2020-09-09 |
| 1205383825 | Rachel Marlor | Occupational Therapy Assistant | 8353 Tn-100, Nashville, TN 37221 | 2016-09-01 |
| 1558710665 | Little Harpeth Children's Dentistry, Pllc | Dentist | 7640 Us Hwy 70 South, Suite 101, Nashville, TN 37221 | 2016-06-09 |
| 1104272376 | Kori Meyers | Counselor | 7837 Old Harding Pike, Nashville, TN 37221 | 2016-05-06 |
| 1255705844 | Sarah Shuster | Behavioral Analyst | 1672 Brockton Lane, Nashville, TN 37221 | 2015-11-19 |
| 1689017337 | Clay Weldon Callahan | Physical Therapist | 908 Falling Water Ct, Nashville, TN 37221 | 2013-04-12 |
| 1801185723 | Craig Nicholas Dobson | Counselor | 1017 Blythe Court West, Nashville, TN 37221 | 2011-03-31 |
| 1811215916 | Tamera Carter | Nurse Practitioner | 7601 Us Route 70, Bellevue, TN 37221 | 2010-05-13 |
| 1770782500 | Watson Primary Care and General Orthopaedics, Plc | Clinic/Center | 7833 Old Harding Pike, Nashville, TN 37221 | 2007-07-12 |
| Find all providers in zip 37221 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863487 | Marleen Sylvia Mcclure | Counselor | 512 Old Hickory Blvd Apt 2817, Nashville, TN 37209-6110 | 2020-05-23 |
| 1265066674 | Margaret Karen Moran | Counselor | 45a Rutledge St, Nashville, TN 37210-2042 | 2020-02-24 |
| 1497300875 | Robert E Kent | Counselor | 417 Parmley Ln, Nashville, TN 37207-2614 | 2019-08-02 |
| 1306313101 | Karlton S Bolton | Counselor | 45 Rutledge St, Nashville, TN 37210-2042 | 2018-10-30 |
| 1710460795 | Samantha Catherine Beretta | Counselor | 1710 17th Ave S, Nashville, TN 37212 | 2018-09-14 |
| 1144608977 | Marisha Jackson | Counselor | 1261 Kenmore Pl, Nashville, TN 37216-3214 | 2015-05-13 |
| 1942502273 | Alcohol and Drug Council of Middle Tennessee | Counselor | 1704 Charlotte Ave, Suite 200, Nashville, TN 37203-2972 | 2010-11-18 |
| 1477785558 | Sarah Beth Rodgers | Counselor | 2621 Gallatin Pike, Nashville, TN 37216-3743 | 2009-08-21 |
| 1275719312 | Battle Enterprises, Inc | Counselor | 4100 Clarksville Pike, Nashville, TN 37218-1902 | 2008-01-19 |
| 1184808115 | Deborah Osborne | Counselor | 2600 Hillsboro Pike, Apt 353, Nashville, TN 37212-5605 | 2007-12-27 |
| Find all providers in NASHVILLE | ||||
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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.