KAYA MOODY
NPI 1366263030
Licensed Practical Nurse in Detroit, MI

Active since October 24, 2024
10630 BALFOUR RD, DETROIT, MI 48224(616) 606-2866 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaya Moody NPPES

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

KAYA MOODY (NPI 1366263030) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703127632) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1366263030
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKAYA MOODY
Location Address10630 BALFOUR RDDetroit, MI 48224-1815
Mailing Address10630 Balfour RdDetroit, MI 48224-1815
Sole ProprietorNo
Enumeration DateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
NPI 1366263030 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 MI · 4703127632
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.
10630 BALFOUR RD, Detroit, MI 48224

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 Kaya Moody's NPI number?

The NPI number for Kaya Moody is 1366263030. It was assigned to this individual provider in the NPPES registry on October 24, 2024.

Where is Kaya Moody located?

Kaya Moody practices at 10630 Balfour Rd, Detroit, MI 48224. The listed phone number is (616) 606-2866.

What is Kaya 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 Kaya Moody was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.