Bianca Sade Moss, ST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4731 Issued in TN

Practice address

12857 Arbor Dr
Olive Branch, MS 38654-9546

Phone

(901) 857-6566

NPI assigned

Jun 11, 2014

Last updated

Oct 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Howze of Speech LLC

  • Hearing and Speech Clinic/Center
  • Olive Branch, MS
  • NPI 1376268375
  NPD

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1063825669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12857 ARBOR DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386549546",
            "telephone_number": "901-857-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12857 ARBOR DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386549546",
            "telephone_number": "901-857-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "BIANCA",
        "middle_name": "SADE",
        "credential": "ST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "3847",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callie Moffitt, RN
• Nicole Yvonne Monroe, O.D.
• Misty Moore Ivy, C.R.N.P.
• S. Jeff Moore, DDS
• Kelly Sue Morgan, OTR/L
• MSK Group, PC
• Stacey Castle Mueller, OTR/L
• Murrell Mind & Wellness, LLC
• Warner Martin Myers, DMD
• MZ Keke Anointed Hands Salon and Hair Replacement Center

• Speech-Language Pathologist in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.