ANGELA MOODY (NPI# 1194264333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194264333 |
| Entity Type | Individual |
| Full Name | ANGELA MOODY |
| Practice Address |
215 Main St Minden LA 71055-3363 |
| Mailing Address |
3018 Old Minden Rd Ste 1117 Bossier City LA 71112-2497 |
| Practice Telephone | 3186399543 |
| Mailing Telephone | 3187461935 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982001707 | Angela Moody | Counselor | 208 18th St, Suite 208, Rock Island, IL 61201-8720 | 2014-11-21 |
| 1508275496 | Angela Moody | Physical Therapist | 10000 W 75th St, Suite 250, Merriam, KS 66204-2209 | 2014-08-05 |
| Street Address |
215 MAIN ST |
| City | MINDEN |
| State | LA |
| Zip Code | 71055-3363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083197610 | Warren Cary | Counselor | 215 Main St, Minden, LA 71055-3363 | 2018-09-10 |
| 1083100937 | Mario D Thompson | Counselor | 215 Main St, Minden, LA 71055-3363 | 2018-07-03 |
| 1477043578 | Willie Simmons | Counselor | 215 Main St, Minden, LA 71055-3363 | 2018-05-14 |
| 1104323708 | Ride With Kare | Non-emergency Medical Transport (VAN) | 215 Main St, Minden, LA 71055 | 2018-04-10 |
| 1992205322 | Latonya Knowles | Counselor | 215 Main St, Minden, LA 71055-3363 | 2018-02-12 |
| 1922507102 | Kayla Gage-harden | Counselor | 215 Main St, Minden, LA 71055-3363 | 2018-02-02 |
| 1750894861 | Sherri Bell | Counselor | 215 Main St, Minden, LA 71055-3363 | 2017-11-10 |
| 1003326117 | Danny Mckinney | Counselor | 215 Main St, Minden, LA 71055-3363 | 2017-10-03 |
| 1578098893 | Lakishia Marshall | Counselor | 215 Main St, Minden, LA 71055-3363 | 2017-04-24 |
| 1689106437 | Alice Brown | Counselor | 215 Main St, Minden, LA 71055-3363 | 2017-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911339 | Walter Matheny II | Nurse Practitioner | 216 W Union Street Ste A Minden, Minden, LA 71055 | 2020-10-27 |
| 1194331579 | Minden Family Pharmacy LLC | Pharmacy | 120 Homer Rd, Minden, LA 71055 | 2020-09-21 |
| 1003469479 | Premier Family Clinic | Nurse Practitioner | 102 Office Park Dr., Minden, LA 71055 | 2019-07-24 |
| 1952803389 | Regina Flournoy | Case Manager/Care Coordinator | 561 Angi Rd, Minden, LA 71055 | 2018-03-01 |
| 1902322233 | New Concept Development Center | Clinic/Center | 15365 Hwy 80, Minden, LA 71055 | 2017-08-18 |
| 1396269304 | Tashalana Walker | Counselor | 601 Homer Rd., Minden, LA 71055 | 2017-08-01 |
| 1992227029 | Kathryn Anne Landreneau | Nurse Practitioner | 101 Murrell St Ste 2, Minden, LA 71055 | 2017-07-11 |
| 1639699937 | Shykiia Hawkins | Counselor | 409 Meadowview Drive, Minden, LA 71055 | 2017-06-27 |
| 1053851147 | Shatoria Moore | Case Manager/Care Coordinator | 305 Homer Rd, Minden, LA 71055 | 2017-03-08 |
| 1821547258 | Sheretha Harrison | Counselor | 1008 Brenda Cir, Minden, LA 71055 | 2016-09-27 |
| Find all providers in zip 71055 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659932408 | Mikel Key | Case Manager/Care Coordinator | 330 Pine St, Minden, LA 71055-3118 | 2019-06-24 |
| 1952803389 | Regina Flournoy | Case Manager/Care Coordinator | 561 Angi Rd, Minden, LA 71055 | 2018-03-01 |
| 1053851147 | Shatoria Moore | Case Manager/Care Coordinator | 305 Homer Rd, Minden, LA 71055 | 2017-03-08 |
| 1164045415 | Danyell S Gipson | Case Manager/Care Coordinator | 1110 Homer Rd, Minden, LA 71055-3028 | 2020-05-21 |
| 1619507290 | Erolinda Pacheco Duarte | Case Manager/Care Coordinator | 2560 Business Pkwy Ste B, Minden, NV 89423-8961 | 2020-01-22 |
| 1316582570 | Tabatha Smith | Case Manager/Care Coordinator | 1110 Homer Rd, Minden, LA 71055-3028 | 2019-11-12 |
| 1972158483 | Deanza M. Andrews | Case Manager/Care Coordinator | 601 Homer Rd, Minden, LA 71055-2909 | 2019-08-02 |
| 1902369804 | Keyundra Grant | Case Manager/Care Coordinator | 601 Homer Rd, Minden, LA 71055-2909 | 2019-04-09 |
| 1699239103 | Darcelle Deruise | Case Manager/Care Coordinator | 601 Homer Rd, Minden, LA 71055-2909 | 2019-01-29 |
| 1528522034 | Barbara Doyle | Case Manager/Care Coordinator | 601 Homer Rd, Minden, LA 71055-2909 | 2019-01-29 |
| Find all providers in MINDEN | ||||
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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.