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Active NPI 1639097678 Individual Practitioner Female Practitioner

Kendra Moody , ARNP

Nurse Practitioner - Family • Bothell, WA

Professional Overview & Biography Verified Profile Summary

Kendra Moody, ARNP is a registered healthcare professional specializing in Nurse Practitioner - Family in Bothell, WA. Practice services are available at 3922 148TH ST SE STE 203 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3922 148th St Se Ste 203

Bothell, WA 980124752

Telephone 4252255310
Associated Practice Facility / Clinic
🏢 Eastside Integrative Medicine, Pllc Facility NPI 1093316614

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Bothell, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.7 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
22 Specialists

Practicing in Bothell, WA (3816 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-18
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License WA ARNP.AP.70147520-NP

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1811500887

Doctor of Naturopathic Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2026

Nurse Practitioner (License #ARNP.AP.70147520-NP in WA)

✅
NPI Profile Active July 08, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2026

Registered at 3922 148TH ST SE STE 203, BOTHELL, WA 980124752 (Tel: 4252255310)

📍
Updated Business Mailing Address July 08, 2026

Registered at 10818 202ND AVE SE, SNOHOMISH, WA 982903642 (Tel: 4252902340)

👤
Provider Name / Credentials Updated July 08, 2026

Recorded as KENDRA MOODY, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2026

Family Medicine (License #ARNP.AP.70147520-NP in WA)

🟢
Initial NPI Registration & Enumeration July 08, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639097678
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2026
Last Update: July 18, 2026
Sole Proprietor: No
Update or Correct Profile

Mailing Address

10818 202nd Ave Se

Snohomish, WA 982903642

Phone: 4252902340

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.