Kathleen Grace Moore, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

7525 Metropolitan Dr Ste 308
San Diego, CA 92108-4412

Phone

(619) 692-0622

NPI assigned

Jul 12, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Kara Dodds and Associates, Inc

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1518056001
  NPD
• Kara Dodds and Associates, Inc

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1114000205
  NPD (past)

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1023742442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 CHALCEDONY ST APT 17",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093205",
            "telephone_number": "309-265-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 METROPOLITAN DR STE 308",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084412",
            "telephone_number": "619-692-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KATHLEEN",
        "middle_name": "GRACE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Fusion",
            "affiliation": "N",
            "address_1": "7525 Metropolitan Dr Ste 308",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921084412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John William Murray Moore, M.D.
• Jonah Moore
• Jordan N Moore
• Joyce Marie Moore, NA
• Katherine Quinlan Moore, PH.D.
• Kelly L. Moore, BSW
• Kenneth Sheppard Moore
• Kindra Denise Moore, LCSW #84940, CADC-II
• Lance T Moore, DC
• Loren Moore, D.C.

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.