Abigail Nicole Moore, MS SLP-CF

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ11666 Issued in FL

Practice address

784 Blanding Blvd Ste 108
Orange Park, FL 32065-7724

Phone

(904) 264-2636

NPI assigned

Dec 12, 2023

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1093583866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11247 SAN JOSE BLVD APT 1719",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237204",
            "telephone_number": "720-984-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 BLANDING BLVD STE 108",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657724",
            "telephone_number": "904-264-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ABIGAIL",
        "middle_name": "NICOLE",
        "credential": "MS SLP-CF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ11666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Lynn Molineaux, APRN
• Lewis Leonard Monroe, FNP-C, PMHNP-BC
• Lauren Kristine Montano, PA-C
• Montega Family Medicine PA (Montega Medical)
• Martha Elisa Montero
• Christopher Moore, M.D.
• Helen S Moore, SPEECH PATHOLOGIST
• Jacob Scott Moore, DO
• John David Moore, D.C.
• Joshua Moore

• Speech-Language Pathologist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Speech-Language Pathologist in Florida

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