Julie Raye Moody, PMHNP
Nurse Practitioner, Psych/Mental Health in Rexburg, ID. Individual provider (NPI-1).
NPI number1508530676
StatusActive
Last updated in NPPESJun 4, 2026
Details
- NPI
- 1508530676
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Julie Raye Moody
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2021
- Certification date
- Jun 4, 2026
- Last updated
- Jun 4, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 69140 | ID | Yes |
Practice location
992 E Butte RdRexburg, ID 83440
Phone 208-993-0878
Mailing address
992 E Butte RdRexburg, ID 83440
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychiatric/Mental Health Nurse Practitioner providers in Rexburg, ID
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All 14 Psychiatric/Mental Health Nurse Practitioner providers in Rexburg · All 837 providers in Rexburg
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