| Mrs Kristi Holland Moody, APRN, CPNP | |
|
42124 Veterans Ave, Ste A, Hammond, LA 70403-1427 | |
| (985) 543-0565 | |
| (985) 543-0567 |
| Full Name | Mrs Kristi Holland Moody |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 42124 Veterans Ave, Hammond, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437268547 | NPI | - | NPPES |
| 1344397 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | AP04909 (Louisiana) | Primary |
| Entity Name | Cornerstone Children's Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780293878 PECOS PAC ID: 4284047549 Enrollment ID: O20210706001090 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kristi Holland Moody, APRN, CPNP 30892 Highway 43, Albany, LA 70711-2814 Ph: (225) 567-2812 | Mrs Kristi Holland Moody, APRN, CPNP 42124 Veterans Ave, Ste A, Hammond, LA 70403-1427 Ph: (985) 543-0565 |
Ashley Pinion Bratton, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15813 Paul Vega Md Dr Ste 301, Hammond, LA 70403 Phone: 985-230-2630 Fax: 985-230-2634 | |
Mrs. Kristen King, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-230-3066 Fax: 985-230-2072 | |
Mrs. Patricia Garner Dalferes, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1402s Magnolia St A, Hammond, LA 70403 Phone: 985-247-4567 Fax: 985-269-7091 | |
Brittany Michelle Zimmer, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Dr, Hammond, LA 70403 Phone: 985-345-2700 Fax: 985-230-2072 | |
Hannah Wilkinson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42131 Veterans Ave Ste 100, Hammond, LA 70403 Phone: 985-345-7246 Fax: 985-345-7249 | |
Cathy O'neal Riggio, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42440 Pelican Professional Park, Hammond, LA 70403 Phone: 985-542-4950 Fax: 985-318-6400 | |
Kim C. Fugarino, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42388 Pelican Professional Park, Hammond, LA 70403 Phone: 985-542-6251 |