MR. STEPHANIE L MOODY (NPI# 1649364209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649364209 |
| Entity Type | Individual |
| Full Name | MR. STEPHANIE L MOODY |
| Credential | ATC/L |
| Practice Address |
101 Fairview Park Drive Dublin GA 31021 |
| Practice Telephone | 4782727494 |
| Practice Fax Number | 4782722616 |
| Mailing Telephone | 4782727494 |
| Mailing Fax Number | 4782722616 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT000957 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437679321 | Stephanie Litjens Moody | Counselor | 961 Laurel St Ste 208, San Carlos, CA 94070-3954 | 2017-06-22 |
| Street Address |
101 FAIRVIEW PARK DRIVE |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255633749 | Whitney Holmes | Physical Therapy Assistant | 101 Fairview Park Drive, Dublin, GA 31021-2501 | 2010-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639637788 | Matthew C Cantrell | Specialist/Technologist | 5680 Venture Dr Ste B, Dublin, OH 43017-2190 | 2019-03-07 |
| 1992260541 | Parker Mason Lee | Specialist/Technologist | 5509 Royal Dublin Dr, Dublin, OH 43016-9438 | 2019-02-07 |
| 1831672559 | Kaitlin Alyssa Giddens | Specialist/Technologist | 655 Hatchee Ridge Rd, Dublin, GA 31021-0885 | 2018-09-09 |
| 1629569728 | Tiandra Martina Finch | Specialist/Technologist | 2950 Dublin Arbor Ln, Dublin, OH 43017-2049 | 2018-05-23 |
| 1699293829 | Tanner Christian Zinni | Specialist/Technologist | 7484 Balfoure Cir, Dublin, OH 43017-8257 | 2017-09-08 |
| 1235652413 | Alessandra B Poirier | Specialist/Technologist | 5464 Hayden Mill Ln Apt 288, Dublin, OH 43016-7582 | 2017-07-19 |
| 1427596204 | Corey Blattler | Specialist/Technologist | 7245 Tullymore Dr, Dublin, OH 43016-8401 | 2017-02-01 |
| 1598201840 | Erica Leigh Vanover | Specialist/Technologist | 5378 Roscommon Rd, Dublin, OH 43017-1048 | 2017-01-10 |
| 1295280717 | Annie Putnam | Specialist/Technologist | 7701 Finbarr Ct, Dublin, OH 43017-2645 | 2016-08-25 |
| 1477008993 | Alycia Kingcade | Specialist/Technologist | 7652 Stanwick Ct, Dublin, OH 43016-9560 | 2016-08-25 |
| Find all providers in DUBLIN | ||||
Please comment or provide details below to improve the information on MR. STEPHANIE L MOODY.
| 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.