Individual provider Active NPI

Rita Michelle Moynihan-Greenberg

  • Speech-Language Pathologist
  • Lawrenceville, GA
National Provider Identifier
1023453917
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA9950 Issued in FL
Practice address
545 Old Norcross Rd Ste 100
Lawrenceville, GA 30046-3390
Phone
(407) 310-7378
NPI assigned
May 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA9950 FL Primary
Speech-Language Pathologist 235Z00000X SLP007841 GA

Addresses

Primary practice location

545 Old Norcross Rd Ste 100
Lawrenceville, GA 30046-3390

Mailing address

128 Spring Valley Loop
Altamonte Springs, FL 32714-6515
Phone (407) 310-7378

Other identifiers 2

IdentifierTypeStateIssuer
1669604179OtherFLNPI NUMBER
003552000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SA9950FLMDSpeech-Language Pathologist
SLP007841GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Herman and Associates Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1023453917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 SPRING VALLEY LOOP",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327146515",
            "telephone_number": "407-310-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 OLD NORCROSS RD STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463390",
            "telephone_number": "407-310-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYNIHAN-GREENBERG",
        "first_name": "RITA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9950",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007841",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1669604179",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003552000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.