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DESTINY MOOTY
NPI 1942781182
Licensed Practical Nurse in Dayton, OH

Active since August 26, 2018
475 EASTDALE DR, DAYTON, OH 45415(937) 626-6868 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2023, Aug 26, 2018 (2 updates tracked since 2018).

About Destiny Mooty NPPES

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

DESTINY MOOTY (NPI 1942781182) is an individual licensed practical nurse in Dayton, Ohio, licensed in Ohio (168599) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1942781182
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDESTINY MOOTY
Location Address475 EASTDALE DRDayton, OH 45415-2913
Mailing Address4950 Northcutt PlDayton, OH 45414-3840 · (937) 496-2020
Phone(937) 626-6868
Sole ProprietorNo
Enumeration DateAugust 26, 2018
Last NPPES UpdateJune 5, 20232 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1942781182 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 OH · 168599
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.
475 EASTDALE DR, Dayton, OH 45415
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOUR HOME OUR CARING HAND
Chore Provider
475 EASTDALE DR
DAYTON, OH 45415
Montgomery County (937) 671-6858

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 Destiny Mooty's NPI number?

The NPI number for Destiny Mooty is 1942781182. It was assigned to this individual provider in the NPPES registry on August 26, 2018.

Where is Destiny Mooty located?

Destiny Mooty practices at 475 Eastdale Dr, Dayton, OH 45415. The listed phone number is (937) 626-6868.

What is Destiny Mooty'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 Destiny Mooty was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.