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Kendra Moody , ARNP

Nurse Practitioner - Family β€’ Bothell, WA

Active NPI 1639097678 Individual Practitioner Female Practitioner
Practice location in NPPES

3922 148th St Se Ste 203
Bothell, WA 980124752

Call 4252255310 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3922 148th St Se Ste 203

Bothell, WA 980124752

Telephone 4252255310
Organization at the Same NPPES Address or Phone
Eastside Integrative Medicine, Pllc Facility NPI 1093316614

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bothell and Washington

22 active clinicians are listed under Nurse Practitioner - Family with a practice address in Bothell, WA (3,783 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bothell

9.1% of these 22 clinicians have the CMS telehealth indicator.

22.7% of these 22 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-18
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES WA ARNP.AP.70147520-NP
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1871949974

Doctor of Chiropractic

NPI 1376689463

Doctor of Naturopathic Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

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

Nurse Practitioner (license number reported to NPPES: WA ARNP.AP.70147520-NP)

βœ…
NPI Profile Active July 08, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2026

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

πŸ“
Business Mailing Address (Initial Record) July 08, 2026

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

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2026

Recorded as KENDRA MOODY, ARNP

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

Family Medicine (license number reported to NPPES: WA ARNP.AP.70147520-NP)

🟒
Initial NPI Registration & Enumeration July 08, 2026

First registered as active Individual Practitioner in NPPES Database.

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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

Other Nurse Practitioner - Family Specialists in Bothell

All Nurse Practitioner - Family Specialists in Bothell

Mailing Address

10818 202nd Ave Se

Snohomish, WA 982903642

Phone: 4252902340

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.