Kelley Marie Moyer

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

702 Faye St
Lake City, AR 72437-9597

Phone

(870) 919-4271

NPI assigned

Jan 12, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1083985626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 FAYE ST",
            "city": "LAKE CITY",
            "state": "AR",
            "postal_code": "724379597",
            "telephone_number": "870-919-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 FAYE ST",
            "city": "LAKE CITY",
            "state": "AR",
            "postal_code": "724379597",
            "telephone_number": "870-919-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "KELLEY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Jordan, APRN
• Lake City Drug LLC
• Lakeside Nursing and Rehabilitation Center, Inc.
• Jennifer Leeann Long, APN
• Emily Renee Mann, FNP
• Amy Kathleen Peevey, PHARM D
• Kelsi Price, APRN, FNP-C
• Kristi Qualls Price, M.D.
• Riverside Medical Clinic
• Riverside School District

• All providers in Lake City, AR
• Speech-Language Assistant in Arkansas

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