HIDI H MCCHESNEY MOODY APRN NPI 1194482489

NPI Information

  • NPI: 1194482489
  • Provider Name: HIDI H MCCHESNEY MOODY, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 836 PRUDENTIAL DR STE 1506
    JACKSONVILLE, FL
    ZIP 32207
  • Phone: (904) 376-3800

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NPI Details

Hidi H Mcchesney Moody, APRN is a psychiatric/mental health nurse practitioner in Jacksonville, FL with 4 years of experience. Hidi H Mcchesney Moody, APRN NPI is 1194482489. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

836 PRUDENTIAL DR STE 1506
JACKSONVILLE, FL
ZIP 32207-342
Phone: (904) 376-3800
Fax: (904) 390-7398

The NPI 1194482489 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/21/2021 and was last updated on 5/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN9332252FLORIDANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN11018400FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1113756600MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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