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

Shannon Moody, RN

Individual provider Registered Nurse · NPI 1720774342

Shannon Moody, RN is a Registered Nurse in Covina, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1359 N Grand Ave
Covina, CA 91724-1016
Phone: (626) 430-2900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 700135 (CA)

Record details

NPI number1720774342
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedApril 17, 2023
Last updated in NPPESApril 17, 2023
Certification dateApril 16, 2023
Mailing address10802 College Pl, Cerritos, CA 90703-1579

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