Nicole Alexandria Moses

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

16239 Issued in CA

Practice address

11838 Bernardo Plaza CT Ste 110
San Diego, CA 92128-2414

Phone

(858) 673-5437

NPI assigned

Apr 10, 2022

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)

Enrolled

State licenses

Practice roles

Locations

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

• Hardy and Lukes Physical Therapy, Inc.

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1356013650
  NPD
• K.I.D.S. Therapy Associates, Inc., a Physical Therapy Corporation

  • Pediatric Physical Therapist
  • San Diego, CA
  • NPI 1598724577

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1649548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649548800000",
    "number": "1114669207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 DAWSON DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920818812",
            "telephone_number": "760-509-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11838 BERNARDO PLAZA CT STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282414",
            "telephone_number": "858-673-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "NICOLE",
        "middle_name": "ALEXANDRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-10",
        "last_updated": "2022-04-10",
        "certification_date": "2022-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "16239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Moses, PHD, ABPP
• Jayden Amar Moses
• Kathy Moses
• Kendal Joseph Moses, LMFT
• Liliana Moses
• Shervin Moshashaei, DDS, MBA
• Blake Mosher
• James Mosher
• Julia Rose Elizabeth Mosher
• Thomas Findlay Mosher, M.D.

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.