ELONDA MOODY LPN NPI 1336707488

NPI Information

NPI: 1336707488
Provider Name: ELONDA MOODY, LPN
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
131 COPELAND ST
ROCHESTER, NY
ZIP 14609
Phone: (585) 498-0730
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Elonda Moody, LPN is a licensed practical nurse in Rochester, NY. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Elonda Moody, LPN NPI is 1336707488. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

131 COPELAND ST
ROCHESTER, NY
ZIP 14609-737
Phone: (585) 498-0730

The enumeration date for this NPI number is 6/4/2019 and was last updated on 6/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		334006	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	334006	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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