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ANDRA M MOODY
NPI 1477123875
Licensed Practical Nurse in Rochester, NY

Active since June 28, 2021
119 ROCKVIEW TER, ROCHESTER, NY 14606(585) 309-0553 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Andra M Moody NPPES

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

ANDRA M MOODY (NPI 1477123875) is an individual licensed practical nurse in Rochester, New York, licensed in New York (341022) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1477123875
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANDRA M MOODY
Location Address119 ROCKVIEW TERRochester, NY 14606-1914
Mailing Address119 Rockview TerRochester, NY 14606-1914 · (585) 309-0553
Phone(585) 309-0553
Sole ProprietorYes
Enumeration DateJune 28, 2021
NPPES CertifiedJune 28, 2021
✔ NPI 1477123875 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 · 341022
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.
119 ROCKVIEW TER, Rochester, NY 14606
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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 Andra Moody's NPI number?

The NPI number for Andra Moody is 1477123875. It was assigned to this individual provider in the NPPES registry on June 28, 2021.

Where is Andra Moody located?

Andra Moody practices at 119 Rockview Ter, Rochester, NY 14606. The listed phone number is (585) 309-0553.

What is Andra 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 Andra Moody was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.