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ELONDA MOODY LPN
NPI 1336707488
Licensed Practical Nurse in Rochester, NY

Active since June 04, 2019
131 COPELAND ST, ROCHESTER, NY 14609(585) 498-0730 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elonda Moody Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELONDA MOODY LPN (NPI 1336707488) is an individual licensed practical nurse in Rochester, New York, licensed in New York (334006) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1336707488
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameELONDA MOODYCredential: LPN
Location Address131 COPELAND STRochester, NY 14609-4737
Mailing Address131 Copeland StRochester, NY 14609-4737 · (585) 498-0730
Phone(585) 498-0730
Sole ProprietorYes
Enumeration DateJune 4, 2019
✔ NPI 1336707488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 334006
Definition
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.
131 COPELAND ST, Rochester, NY 14609
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Other Identifiers 1

Medicaid334006NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elonda Moody's NPI number?

The NPI number for Elonda Moody is 1336707488. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Where is Elonda Moody located?

Elonda Moody practices at 131 Copeland St, Rochester, NY 14609. The listed phone number is (585) 498-0730.

What is Elonda Moody's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Elonda Moody was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.