MONIQUE D. MOODY CPT, CMA,DSP – NPI #1720936651
Technician, Pathology

MONIQUE MOODY is a pathology technician located in GLENDALE, AZ. NPPES recently assigned the NPI number 1720936651 to MONIQUE MOODY on March 17, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 246RP1900X from the Health Care Provider Taxonomy code set, which is classified as Technician, Pathology, specializing in Phlebotomy

The NPI profile was last updated on May 02, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MONIQUE MOODY below.

NPI Profile for
MONIQUE D. MOODY

NPI Number
1720936651
Enumeration Date

(about 3 months ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MONIQUE D. MOODY
Credentials
CPT, CMA,DSP
Primary location
7780 N 57TH LN
GLENDALE, AZ 85301-7872
Phone: (602) 456-6138 Fax:
Mailing address
7428 W CAVALIER DR
GLENDALE, AZ 85303-0021
Phone: (602) 793-9251 Fax:
Sole Proprietor
No
Updated
Certification Date
May 02, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246RP1900X
- Technician, Pathology / Phlebotomy (Primary)
MI INST3437836425
3747P1801X
- Technician / Personal Care Attendant
AZ 2025B09366
3747A0650X
- Technician / Attendant Care Provider
AZ 2025B09366
261QM1300X
- Clinic/Center / Multi-Specialty
IN

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.