Healthcare Provider Details

I. General information

NPI: 1720908759
Provider Name (Legal Business Name): CAYSIE ELAINE MOODY MSN, ARNP, CPNP-AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

543 DORCHESTER DR
SEVEN FIELDS PA
16046-4705
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-2000
  • Fax:
Mailing address:
  • Phone: 724-584-3827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberARNP.AP.70115354-NP
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: