MRS. JESSICA MAE MOODY


Address: 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280
Phone: 6233747774

MRS. JESSICA MAE MOODY (NPI# 1043349400) 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) 1043349400
Entity Type Individual
Full Name MRS. JESSICA MAE MOODY
Credential PHYSICIAN ASSISTANT
Practice Address 14780 W Mountain View Blvd Ste 110
Surprise
AZ 85374-7280
Mailing Address 28727 N 20th Ave
Phoenix
AZ 85085-0727
Practice Telephone 6233747774
Mailing Telephone 5207800129
Enumeration Date 2007-03-03
Last Update Date 2014-11-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
3474 AZ Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
3474 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Providers JESSICA MOODY

NPI Name Taxonomy Address Enumeration
1942828561 Jessica Moody Social Worker 215 Amaya Ave, Youngsville, LA 70592-6713 2020-07-09
1649836248 Jessica Diane Moody Counselor 6070 Lyons View Pike, Knoxville, TN 37919 2019-05-20
1639676372 Jessica Lee Moody Massage Therapist 19068 Jensen Way Ne, Poulsbo, WA 98370 2018-04-10
1497269955 Jessica Michelle Moody Social Worker 3336 S Pioneer Pkwy Ste 201, West Valley City, UT 84120-2085 2017-11-20
1861935504 Jessica Moody Nurse Practitioner 501 Virginia Dr, Batesville, AR 72501-7331 2016-11-29
1497118541 Jessica Moody Family Medicine 9961 Sierra Ave, Fontana, CA 92335-6720 2016-04-05
1871952093 Jessica Moody Nurse Practitioner 921 Gessner Rd, Houston, TX 77024-2501 2016-02-16
1083918502 Jessica Moody Behavioral Analyst 19530 Kedzie Ave, Flossmoor, IL 60422-1778 2010-12-23
1205065380 Jessica Nicole Moody Counselor 1212 Cowpens Ave, Towson, MD 21286-1720 2009-07-09
1558566844 Jessica Moody Dental Assistant 1310 24th Ave S, Nashville, TN 37212-2637 2007-06-18

Office Location

Street Address 14780 W MOUNTAIN VIEW BLVD STE 110
City SURPRISE
State AZ
Zip Code 85374-7280

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255399812 Michael Dean Hurt Anesthesiology 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280 2006-05-03
1538781794 Paola Marie Rivera Diaz Social Worker 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280 2020-05-11
1275162323 Nerissa Apostol Zafe Nurse Practitioner 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280 2020-04-01
1447890876 Md24 Safe Harbor Oh, LLC. Family Medicine 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280 2020-01-14
1417597857 Md24 Safe Harbor Mi, LLC. Family Medicine 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280 2020-01-14
1215574470 Safe Harbor Hospice of Arizona, LLC General Practice 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280 2019-12-06
1205483476 Alphonse Alapat Nurse Practitioner 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280 2019-08-22
1366001869 Md24 Integrated Clinics, Pllc Family Medicine 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280 2019-06-07
1083273585 Integrated Behavioral Health, Pllc. Family Medicine 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280 2019-06-07
1447819941 Md24 Integrated Wound Care, LLC. Family Medicine 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280 2019-06-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225648801 Jennilyn Joy Puhawan Cave Emergency Medicine 14440 W Tierra Buena Ln, Surprise, AZ 85374 2020-08-07
1912538497 Dental Depot of Surprise, Pllc Clinic/Center 13828 W. Greenway Rd., Surprise, AZ 85374 2020-02-03
1447898622 Vhs of Arrowhead, Inc. General Acute Care Hospital 16815 W. Bell Rd, Surprise, AZ 85374 2019-12-18
1073155834 Regency Ambulatory Surgery Center One, LLC Clinic/Center 14753 W Mountain View Blvd, Surprise, AZ 85374 2019-10-14
1164064929 Advanced Ambulatory Surgery Center One, LLC Clinic/Center 14753 W. Mountain View Blvd., Surprise, AZ 85374 2019-10-14
1275005308 Filsan Ali Nurse Practitioner 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 2018-12-31
1427528686 Anna L Bell Nurse Practitioner 14811 W Bell Rd Ste 100, Surprise, AZ 85374 2018-11-30
1649755893 Surprise Behavioral Hospital Lp Psychiatric Hospital 16561 North Parkview Place, Surprise, AZ 85374 2018-10-03
1336621259 Chaparral Winds LLC Assisted Living Facility 16623 N West Point Parkway, Surprise, AZ 85374 2018-09-06
1104310648 Austin Daniel Lau Dentist 17018 W Bell Rd, Surprise, AZ 85374 2018-06-19
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275984288 Ronald West Physician Assistant 15126 W Aster Dr, Surprise, AZ 85379-8111 2016-06-30
1912378548 Whitney Benard Physician Assistant 13755 N Litchfield Rd Ste 105, Surprise, AZ 85379-4288 2015-10-08
1891028403 Brian C Clayton Physician Assistant 16345 N 172nd Ln, Surprise, AZ 85388-1222 2009-09-14
1346453487 Courtney A. Cahill Physician Assistant 14239 W. Bell Road, Suite 101, Surprise, AZ 85374 2007-05-07
1700835642 Johanna M Brooks Physician Assistant 14239 West Bell Road, Suite 112, Surprise, AZ 85374-2469 2006-05-08
1346241940 Nancy J Cooper Physician Assistant 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374-7280 2005-08-03
1225590375 Nayla Mansoor Physician Assistant 14674 W Mountain View Blvd Ste 200, Surprise, AZ 85374-2708 2019-04-05
1659854677 Jay Boardman Physician Assistant 13755 N Litchfield Rd Ste 105, Surprise, AZ 85379-4288 2018-09-14
1699222703 Micaela Hilger Physician Assistant 12361 W Bola Dr Ste 109, Surprise, AZ 85378-9021 2016-09-07
1497202584 Danyelle Dingle Physician Assistant 14674 W Mountain View Blvd, Surprise, AZ 85374-2706 2016-09-06
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Competitor

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City SURPRISE
Zip Code 85374

Improve Information

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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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