CHRISTOPHER MOODY (NPI# 1689228850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689228850 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER MOODY |
| Credential | ATC |
| Practice Address |
417 W 3rd Ave Albany GA 31701-1943 |
| Mailing Address |
539 N Westover Blvd Apt 926 Albany GA 31707-7102 |
| Practice Telephone | 2293121000 |
| Mailing Telephone | 8033517058 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | BOC CERTIFICATION NUMBER | 2000037223 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578032488 | Christopher Moody | Behavior Technician | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2018-11-20 |
| 1164680922 | Christopher Wayne Moody | Nurse Anesthetist, Certified Registered | 1275 York Ave, New York, NY 10065-6007 | 2008-05-29 |
| 1780704288 | Christopher Moody | Occupational Therapist | 11285 Sw 211th St, Suite 204, Miami, FL 33189-2211 | 2007-03-29 |
| 1477547511 | Christopher Ward Moody | Nurse Practitioner | 380 Main St, Watertown, CT 06795-2260 | 2005-09-06 |
| Street Address |
417 W 3RD AVE |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232503 | Teresa Joy Bohlmeyer | Pathology | 417 W 3rd Ave, Albany, GA 31701-1943 | 2005-06-01 |
| 1861005084 | Brittany Campbell | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2020-08-27 |
| 1528679735 | Ta-tanisha Parks | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2020-08-11 |
| 1013543859 | Amber Nicole Brodbeck | Registered Nurse | 417 W 3rd Ave, Albany, GA 31701-1943 | 2020-03-12 |
| 1225676273 | Jasmine Andrews | Specialist/Technologist | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-12-19 |
| 1194375543 | Madison Elizabeth Miller | Anesthesiologist Assistant | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-09-18 |
| 1548816457 | Taylor Leigh Holmes | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-08-15 |
| 1922651223 | Evans Ngwa Mabo | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-07-17 |
| 1144789082 | Joyce Anderson | Home Health | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-03-19 |
| 1790253185 | Lonnie E Bass | Nurse Anesthetist, Certified Registered | 417 W 3rd Ave, Albany, GA 31701-1943 | 2018-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| 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 |
|---|---|---|---|---|
| 1093355794 | Kevin Tarpey | Specialist/Technologist | 140 New Scotland Ave, Albany, NY 12208-3423 | 2020-01-10 |
| 1174169015 | Cheryl Hurd | Specialist/Technologist | 9 Lawn Ave, Albany, NY 12204-2615 | 2019-11-26 |
| 1730731225 | Therese Lisieux Broderick | Specialist/Technologist | 391 W Lawrence St, Albany, NY 12208-2135 | 2019-07-15 |
| 1861950693 | Grace Elizabeth David | Specialist/Technologist | 29805 Amvets Rd, Albany, LA 70711-4218 | 2019-03-11 |
| 1225595754 | Victoria Kreger | Specialist/Technologist | 6311 Rosemarie St Ne, Albany, OR 97321-7407 | 2019-02-20 |
| 1831653740 | Cheyanne Hope Duckson | Specialist/Technologist | 1211 Highview Dr, Albany, MN 56307-9319 | 2019-01-24 |
| 1235603994 | Jacqueline Coyne | Specialist/Technologist | 12 Airline Dr, Albany, NY 12205-1004 | 2019-01-16 |
| 1982177507 | Matthew Snow | Specialist/Technologist | 1400 Washington Ave Sefcu Arena A25, Albany, NY 12222-0001 | 2019-01-07 |
| 1326537176 | Kimberly Ann Wersted | Specialist/Technologist | 1400 Washington Ave Sefcu A25, Albany, NY 12222-0001 | 2018-05-08 |
| 1659860419 | Patrick Mars | Specialist/Technologist | 1400 Washington Ave Sefcu A-25, Albany, NY 12222-0001 | 2018-05-08 |
| Find all providers in ALBANY | ||||
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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.