JESSICA LEE MOODY (NPI# 1639676372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639676372 |
| Entity Type | Individual |
| Full Name | JESSICA LEE MOODY |
| Other Name | JESSICA LEE BOONE |
| Credential | LMT |
| Practice Address |
19068 Jensen Way Ne Poulsbo WA 98370 |
| Mailing Address |
1885 Miss Ellis Loop Ne Poulsbo WA 98370-7359 |
| Practice Telephone | 3602712268 |
| Mailing Telephone | 7048067757 |
| Mailing Fax Number | 7048067757 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 60807312 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service 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 |
| 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 |
| 1043349400 | Jessica Mae Moody | Physician Assistant | 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280 | 2007-03-03 |
| Street Address |
19068 JENSEN WAY NE |
| City | POULSBO |
| State | WA |
| Zip Code | 98370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730201351 | Kylan Robyn Skinner | Massage Therapist | 19068 Jensen Way Ne, Suite 4b, Poulsbo, WA 98370 | 2007-04-04 |
| 1821641010 | Analeigh Michelle Otis | Massage Therapist | 19068 Jensen Way Ne, #4b, Poulsbo, WA 98370 | 2019-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324010 | Francie Corinn Edens | Massage Therapist | 225 Nw Lindvig Way Suite# 6, Poulsbo, WA 98370 | 2020-01-03 |
| 1972155679 | Marcela Serocki | Massage Therapist | 18657 Wa-305, Suite 4, Poulsbo, WA 98370 | 2019-07-12 |
| 1508425943 | Ryan Brinton | Physical Therapist | Kitsap Physical Therapy and Sports Clinics, 19319 7th Ave Ne Ste 108, Poulsbo, WA 98370 | 2019-06-10 |
| 1598220816 | Naomi Whitney Orong | Massage Therapist | 19068 Nw Jenson Way, Suite 4b, Poulsbo, WA 98370 | 2019-02-01 |
| 1043774953 | Maryanne Phillips Bellman | Physical Therapist | 442 Viewmont Ave, Poulsbo, WA 98370 | 2019-01-24 |
| 1285102293 | Andrea Sander | Registered Nurse | 19883 12th Ave Ne, Poulsbo, WA 98370 | 2018-11-07 |
| 1376038281 | Sharon Renay Christor | Nurse Practitioner | 19160 Front St. Ne, Poulsbo, WA 98370 | 2018-06-25 |
| 1700304334 | Samantha Przybylek Gavinski | Nurse Practitioner | 19500 10th Ave Ne Suite 100, Poulsbo, WA 98370 | 2017-09-04 |
| 1285164327 | Johanna Taylor | Behavior Technician | 21786 Windmill Loop Nw, Poulsbo, WA 98370 | 2017-06-12 |
| 1568990554 | Eva Geurtsen | Physical Therapy Assistant | 19160 Front St, Poulsbo, WA 98370 | 2017-06-02 |
| Find all providers in zip 98370 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024412 | Raymond Graber | Massage Therapist | 19041 Front St Ne, Poulsbo, WA 98370-7354 | 2020-08-18 |
| 1841820453 | Olga Zhirnova | Massage Therapist | 19611 7th Ave Ne Ste 200, Poulsbo, WA 98370-7384 | 2020-01-22 |
| 1790324010 | Francie Corinn Edens | Massage Therapist | 225 Nw Lindvig Way Suite# 6, Poulsbo, WA 98370 | 2020-01-03 |
| 1972155679 | Marcela Serocki | Massage Therapist | 18657 Wa-305, Suite 4, Poulsbo, WA 98370 | 2019-07-12 |
| 1598220816 | Naomi Whitney Orong | Massage Therapist | 19068 Nw Jenson Way, Suite 4b, Poulsbo, WA 98370 | 2019-02-01 |
| 1821476631 | Angel Ritualo | Massage Therapist | 922 Winton Ln Nw, C, Poulsbo, WA 98370-9488 | 2015-05-13 |
| 1710396288 | Kyan Shaffner | Massage Therapist | 19586 10th Ave Ne, Suite 100, Poulsbo, WA 98370 | 2014-08-08 |
| 1174931398 | Shaya Appleton | Massage Therapist | 19586 10th Ave, Suite 100, Poulsbo, WA 98370 | 2014-07-31 |
| 1427461458 | Tommie Mitchel Doran | Massage Therapist | 25233 Pioneer Way Nw, Poulsbo, WA 98370-9553 | 2014-06-06 |
| 1790196194 | Matthew Mccourry | Massage Therapist | 26774 Weaver Rd Nw, Poulsbo, WA 98370-9569 | 2014-05-19 |
| Find all providers in POULSBO | ||||
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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.