Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katlin Mariah Moody

Individual provider Family Nurse Practitioner · NPI 1629853858

Katlin Mariah Moody is a Nurse Practitioner in Lancaster, California. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

44453 16th St W Ste 101
Lancaster, CA 93534-2883
Phone: (661) 816-1330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9001 Stockdale Hwy, Bakersfield, CA 93311-1022 — (661) 654-2505

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95035418 (CA)

Record details

NPI number1629853858
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2023
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025
Mailing address9001 Stockdale Hwy, Bakersfield, CA 93311-1022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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