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).
| 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 |
| 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 |
| 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 |
| Street Address |
14780 W MOUNTAIN VIEW BLVD STE 110 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374-7280 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 85374 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| 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 |
| Find all providers in SURPRISE | ||||
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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.