Madeleine Moon

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

121729 Issued in TX

Practice address

5401 Heritage Ave
Colleyville, TX 76034-5919

Phone

(817) 305-4700

NPI assigned

Feb 8, 2024

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

Other names 1

• Madeleine Bogan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1104680339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 HERITAGE AVE",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 HERITAGE AVE",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345919",
            "telephone_number": "817-305-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "MADELEINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "121729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELEINE",
            "last_name": "BOGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen Darnell Mitchell, RPH
• Cole Modlin, MA
• Rashad Mohamed Riazuddin, MD
• Denisa Mohr, LPC
• Arturo J Molina, LPC
• Moore Abundant Life Chiropractic LLC
• Alexis Moore
• Amanda Renee Moore, D.C.
• Jason Nicholas Moore, D.C.
• Robert E Moore, MD

• Speech-Language Pathologist in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.