Erin Ayen Moon, M.S. ED, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

025620 Issued in NY

Practice address

111 Gleason St
Gouverneur, NY 13642-1217

Phone

(315) 287-2260

Fax

(315) 287-2410

NPI assigned

Sep 13, 2016

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 Science

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.

• Gouverneur Central School

  • Local Education Agency (LEA)
  • Gouverneur, NY
  • NPI 1972873917
  NPD (past)

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1013465608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WILSON ST",
            "city": "GOUVERNEUR",
            "state": "NY",
            "postal_code": "136421328",
            "telephone_number": "315-287-3200",
            "fax_number": "315-287-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GLEASON ST",
            "city": "GOUVERNEUR",
            "state": "NY",
            "postal_code": "136421217",
            "telephone_number": "315-287-2260",
            "fax_number": "315-287-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "ERIN",
        "middle_name": "AYEN",
        "name_prefix": "Ms.",
        "credential": "M.S. ED, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "025620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drushti Mehta
• Suzanne Meyer
• Michael F Lapierre PT
• Heather Miller
• Linda May Miller, RN
• Megan Alice Morrow, OTR/L
• Sarah Elizabeth Moss, LPN
• Emily Murphy
• Linda Joan Myers, LMSW
• Thomas Neely, R.PH.

• Speech-Language Pathologist in Gouverneur, NY
• Providers in Gouverneur, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.