MEDICARE: ABBY MOODY NP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1912850694
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABBY MOODY NP LLC

Provider Business Mailing Address
First Line	:	8016 STATE LINE RD STE 205
Second Line	:
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66208-3713
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8016 STATE LINE RD STE 205
Second Line	:
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66208-3713
Country	:	US
Telephone Number	:	402-705-1327
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	ABBY MOODY
Credential	:	NP
Telephone Number	:	402-705-1327

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	02/20/2026

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Directions to “ABBY MOODY NP LLC ” Practice Location

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