Marta Ponce Moreno, M.ED. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-4327 Issued in NV

Practice address

1789 Bonnie Bay PL
North Las Vegas, NV 89084-3824

Phone

(267) 213-9712

NPI assigned

Dec 30, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Good Life Therapy, LLC

  • Occupational Therapist
  • Las Vegas, NV
  • NPI 1700211182
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1003403528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 BONNIE BAY PL",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890843824",
            "telephone_number": "267-213-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 BONNIE BAY PL",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890843824",
            "telephone_number": "267-213-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE MORENO",
        "first_name": "MARTA",
        "credential": "M.ED. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-4327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Polk, M.S.
• Mercedes Lynn Polk, MERCEDES
• Carlos Ramon Pollard
• Frantonia Pollins
• Maribel Pon Ce
• Rocio Ponce-Vega
• Aaron Angelo Kamuela Ponce, MD
• Ingrid Ponce, LSW, MSW
• Jeyna Ebony Espiritu Ponce
• Elizabeth Pool

• Speech-Language Pathologist in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.