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CRESFIELD WINSLOW MOODY FNP
NPI 1962468678
Nurse Practitioner - Family in Page, AZ

Active since April 21, 2006
463 S. LAKE POWELL BLVD, PAGE, AZ 86040(928) 645-0945(925) 645-3254 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cresfield Winslow Moody Fnp NPPES

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

CRESFIELD WINSLOW MOODY FNP (NPI 1962468678) is an individual family provider in Page, Arizona, licensed in Arizona (AP2197) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1962468678
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCRESFIELD WINSLOW MOODYCredential: FNP
Location Address463 S. LAKE POWELL BLVDPage, AZ 86040-0790
Mailing AddressPo Box 790, 463 S. Lake Powell BlvdPage, AZ 86040-0790 · (928) 645-0945 · Fax (928) 645-3254
Phone(928) 645-0945
Fax(925) 645-3254
Sole ProprietorYes
Enumeration DateApril 21, 2006
Last NPPES UpdateAugust 27, 2013
✔ NPI 1962468678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP2197
463 S. LAKE POWELL BLVD, Page, AZ 86040
Open in Google Maps ↗

Other Identifiers 4

OtherAZ07272AZ · Electronic Trading Number
Medicaid957152AZ
Medicare UPINQ55144AZ
OtherAZ158651AZ · Bcbs Provider Number

Other Providers at the Same Location NPPES 6

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

MRS. BEVERLY JEAN HORTON LPC
Counselor (Professional)
463 S. LAKE POWELL BLVD
PAGE, AZ 86040
Coconino County (928) 645-5113
ENCOMPASS HEALTH SERVICES INCORPORATED
Community/Behavioral Health
463 S. LAKE POWELL BLVD
PAGE, AZ 86040
Coconino County (928) 645-5113
KAE REHMA
Counselor (Mental Health)
463 S. LAKE POWELL BLVD
PAGE, AZ 86040
Coconino County (928) 645-5113
ENCOMPASS HEALTH SERVICES INCORPORATED
Preferred Provider Organization
463 S. LAKE POWELL BLVD
PAGE, AZ 86040
Coconino County (928) 645-5113
MR. RONALD GRANT MACDONALD JR. LPC, LISAC
Counselor (Professional)
463 S. LAKE POWELL BLVD
PAGE, AZ 86040
Coconino County (928) 645-5113
BRENT E CASE
Counselor (Professional)
463 S. LAKE POWELL BLVD
PAGE, AZ 86040
Coconino County (928) 645-5113

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 Cresfield Moody's NPI number?

The NPI number for Cresfield Moody is 1962468678. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Cresfield Moody located?

Cresfield Moody practices at 463 S. Lake Powell Blvd, Page, AZ 86040. The listed phone number is (928) 645-0945.

What is Cresfield Moody's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Cresfield Moody was last updated on August 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.