Organization Active NPI

Moss SLP Therapy LLC

  • Speech-Language Pathologist
  • Jacksonville, FL
National Provider Identifier
1053093377
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MOSS SLP THERAPY LLC
Practice address
11080 Lothmore Rd
Jacksonville, FL 32221-3873
Phone
(817) 727-3226
NPI assigned
Aug 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Elizabeth E Moss, MS, CCC-SLP, CBISNPI 1407554868
Title
Speech Pathologist, Owner
Phone
(817) 727-3226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

11080 Lothmore Rd
Jacksonville, FL 32221-3873

Mailing address

11080 Lothmore Rd
Jacksonville, FL 32221-3873
Phone (817) 727-3226

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1053093377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11080 LOTHMORE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322213873",
            "telephone_number": "817-727-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11080 LOTHMORE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322213873",
            "telephone_number": "817-727-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS SLP THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST, OWNER",
        "authorized_official_telephone_number": "817-727-3226",
        "authorized_official_credential": "MS, CCC-SLP, CBIS"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.