JANE MARIE MOODY (NPI# 1841790144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841790144 |
Entity Type | Individual |
Full Name | JANE MARIE MOODY |
Credential | RN |
Practice Address |
Katahdin Valley Health Center 30 Houlton Road Patten ME 04765-6221 |
Practice Telephone | 2075282285 |
Mailing Telephone | 2075282285 |
Enumeration Date | 2018-02-14 |
Last Update Date | 2018-02-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN5311 | ME | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629236807 | Jane Elizabeth Moody | Pharmacist | 35 S Johnson St, Suite 1e, Pontiac, MI 48341-1658 | 2008-05-24 |
Street Address |
KATAHDIN VALLEY HEALTH CENTER 30 HOULTON ROAD |
City | PATTEN |
State | ME |
Zip Code | 04765-6221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285043869 | Angela Anderson | Registered Nurse | 30 Houlton St., Patten, ME 04765 | 2014-08-07 |
1649404609 | Randall S Roberts | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 52 Gardner Street, Apt A, Patten, ME 04765 | 2009-05-06 |
1386878346 | Kimberly Iverne Rodriguez | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 52 Gardiner Street, Patten, ME 04765 | 2009-05-06 |
1528260783 | Town of Patten | Ambulance | 27 Dearborn St., Patten, ME 04765 | 2007-06-01 |
1700941333 | Green Valley Association | Day Training, Developmentally Disabled Services | 69 David St, Island Falls, ME 04765 | 2006-12-26 |
1518022151 | Green Valley Association | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Gardner Street, Patten, ME 04765 | 2006-12-26 |
1639230113 | Chandler Bay Group, Inc | Skilled Nursing Facility | 83 Houlton Road, Patten, ME 04765 | 2006-12-12 |
1811917545 | Denise M Marquis | Nurse's Aide | 30 Houlton Street, Patten, ME 04765 | 2006-07-19 |
1609824747 | Ronald I Blum | Specialist | 17 Founders Street, Patten, ME 04765 | 2006-05-04 |
1699770222 | Rose M Fuchs | Family Medicine | 17 Founders St, Patten, ME 04765 | 2005-06-20 |
Find all providers in zip 04765 |
Taxonomy Code | 163WC1500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992085336 | Denise M Gardner | Registered Nurse | 30 Houlton St, Patten, ME 04765-0500 | 2011-08-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982248506 | Nicole Perham | Registered Nurse | 24 Hunters Ln, Lyman, ME 04002-7365 | 2019-11-06 |
1780234740 | Melissa Anne Chretien | Registered Nurse | 31 Bath Rd, Brunswick, ME 04011-2691 | 2019-09-11 |
1366960841 | Stephanie Dragoon | Registered Nurse | 712 Eastern Ave, Augusta, ME 04330-6713 | 2017-09-05 |
1801250279 | Susan Caplan | Registered Nurse | 55 Landing Woods, Yarmouth, ME 04096-6523 | 2016-04-11 |
1346512233 | Ila Mae | Registered Nurse | 32 Down St, Indian Island, ME 04468-1214 | 2012-02-07 |
1235261389 | Heather Elisabeth Bacon | Registered Nurse | 163 Edwards St, Portland, ME 04102-2539 | 2007-03-12 |
1447749965 | Wanda Edith White-ouellette | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2018-05-10 |
1558899393 | Jessica Lael Loney | Registered Nurse | 6 Farley Rd, Brunswick, ME 04011-2642 | 2017-05-24 |
1427480540 | Michelle Fenderson | Registered Nurse | 11 East St, Benton, ME 04901-3309 | 2013-07-31 |
1245505031 | Meredith Smithson | Registered Nurse | 11 Medical Center Dr, Brunswick, ME 04011-2690 | 2012-03-13 |
Find all providers with the same taxonomy |
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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.