BRENDA K. MOODY (NPI# 1134255748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134255748 |
| Entity Type | Individual |
| Full Name | BRENDA K. MOODY |
| Credential | CRNA |
| Practice Address |
8110 County Road 44 Leg A Leesburg FL 34788-3704 |
| Practice Telephone | 3523238868 |
| Practice Fax Number | 3523238865 |
| Mailing Telephone | 3523238868 |
| Mailing Fax Number | 3523238865 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2014-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | ARNP 9335818 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00121720 | 05 | |
| FL | 006434500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497073332 | Brenda Sue Moody | Case Manager/Care Coordinator | 5620 Northridge Run, Cashion, OK 73016-9426 | 2010-05-16 |
| Street Address |
8110 COUNTY ROAD 44 LEG A |
| City | LEESBURG |
| State | FL |
| Zip Code | 34788-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760453286 | Garth O George | Internal Medicine | 8110 County Road 44 Leg A, Leesburg, FL 34788-3704 | 2006-02-01 |
| 1326112244 | Rolando M Malibiran | Specialist | 8110 County Road 44 Leg A, Leesburg, FL 34788-3704 | 2006-11-20 |
| 1467480145 | Maohao Han | Surgery | 8110 County Road 44 Leg A, Leesburg, FL 34788-3704 | 2006-06-29 |
| 1235165531 | Lake Surgery & Endoscopy Center Ltd | Clinic/Center | 8110 County Road 44 Leg A, Leesburg, FL 34788-3704 | 2006-06-25 |
| 1215974498 | Professional Gastroenterology & Nutrition Associates, P.a. | Internal Medicine | 8110 County Road 44 Leg A, Leesburg, FL 34788-3704 | 2006-05-31 |
| 1366494874 | Lily Tran | Internal Medicine | 8110 County Road 44 Leg A, Leesburg, FL 34788-3704 | 2006-05-16 |
| 1265483564 | Akram Ismail | Internal Medicine | 8110 County Road 44 Leg A, Leesburg, FL 34788-3704 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346752060 | Latoya Luella Burnette | Homemaker | 9324 Cemetery Ave, Leesburg, FL 34788 | 2017-11-03 |
| 1407396781 | Rachelle Desir | Developmental Therapist | 33242 Kaylee Way, Leesburg, FL 34788 | 2017-03-06 |
| 1184752750 | Suzanne Mary Howard | Social Worker | 33057 Professional Drive, Lake Center of Hope, Leesburg, FL 34788 | 2007-03-02 |
| 1386798460 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 10041 Us Hwy 441, Suite E, Leesburg, FL 34788 | 2007-01-23 |
| 1558412486 | Samuel Bundz Md Pa | Surgery | 8112 Centralia Ct, Suite 101, Leesburg, FL 34788 | 2007-01-16 |
| 1174628481 | Foy Edward Dark Jr. | Chiropractor | 32629 Blossom Lane, Leesburg, FL 34788 | 2006-09-13 |
| 1033220744 | Miguel A Gonzalez | Internal Medicine | 33025 Professional Drive, Leesburg, FL 34788 | 2006-08-31 |
| 1215968821 | N Chandramohan Md Pa | Internal Medicine | 32845 Radio Road, Ste 102, Leesburg, FL 34788 | 2006-07-05 |
| 1548296361 | Endosurg Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 8100 Cr 44 Leg A, Leesburg, FL 34788 | 2006-06-23 |
| 1629014956 | Steven Joseph Nerad | Technician, Cardiology | 8135 Centralia Court, Suite 102, Leesburg, FL 34788 | 2006-06-22 |
| Find all providers in zip 34788 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962863233 | Ifesinachi Anosike | Nurse Anesthetist, Certified Registered | 1500 Balch Dr S, Leesburg, VA 20175-4701 | 2016-03-15 |
| 1679949200 | Ryan Eubanks | Nurse Anesthetist, Certified Registered | 115 Apalachee Dr, Leesburg, GA 31763-5214 | 2015-08-18 |
| 1689936528 | Kaitlin Harbin | Nurse Anesthetist, Certified Registered | 4045 Riverside Parkway, Leesburg, VA 20176-5101 | 2012-06-15 |
| 1346354925 | Jeanne M Mcintyre | Nurse Anesthetist, Certified Registered | 740 Middle Rd S, Leesburg, GA 31763-3436 | 2006-08-19 |
| 1306872387 | Misty C Allen | Nurse Anesthetist, Certified Registered | 2862 W Main St, Leesburg, FL 34748-4631 | 2006-06-23 |
| 1548296361 | Endosurg Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 8100 Cr 44 Leg A, Leesburg, FL 34788 | 2006-06-23 |
| 1023016821 | Jennifer Gut | Nurse Anesthetist, Certified Registered | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2005-07-14 |
| 1497387328 | Hannah Burzumato | Nurse Anesthetist, Certified Registered | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2020-02-08 |
| 1265915573 | Samuella Ferrari | Nurse Anesthetist, Certified Registered | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2018-09-12 |
| 1023552759 | Mintra Sarasup | Nurse Anesthetist, Certified Registered | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2016-12-14 |
| Find all providers in LEESBURG | ||||
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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.