Individual provider Active NPI

Katharine Darby Moss, M.S. C.C.C. SLP

  • Speech-Language Pathologist
  • Pompano Beach, FL
National Provider Identifier
1043579220
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
FLORIDA SA 6534 Issued in FL
Practice address
2820 NE 23Rd PL
Pompano Beach, FL 33062-1136
Phone
(754) 264-2517
NPI assigned
May 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X FLORIDA SA 6534 FL Primary

Addresses

Primary practice location

2820 NE 23Rd PL
Pompano Beach, FL 33062-1136

Mailing address

2820 NE 23Rd PL
Pompano Beach, FL 33062-1136
Phone (754) 264-2517

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
FLORIDA SA 6534FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1043579220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 NE 23RD PL",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621136",
            "telephone_number": "754-264-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 NE 23RD PL",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621136",
            "telephone_number": "754-264-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "KATHARINE",
        "middle_name": "DARBY",
        "name_prefix": "Mrs.",
        "credential": "M.S. C.C.C. SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "FLORIDA SA 6534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.