Individual provider Active NPI

Cindy Kay Moore, M.A.

  • Audiologist
  • Erie, PA
National Provider Identifier
1144492968
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006603 Issued in PA
Practice address
2550 W 8TH St
Erie, PA 16505-4432
Phone
(814) 833-9533
Fax
(814) 833-1621
NPI assigned
Apr 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006603 PA Primary

Addresses

Primary practice location

2550 W 8TH St
Erie, PA 16505-4432

Mailing address

2550 W 8TH St
Erie, PA 16505-4432
Phone (814) 833-9533

Other names 1

  • Cindy Kay Libben Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AT006603PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael D Rairigh,Au.D PLLC PastSince Oct 12, 2018 Accepting new patients
ENT Physicians Inc PastSince Sep 1, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1144492968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054432",
            "telephone_number": "814-833-9533",
            "fax_number": "814-833-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054432",
            "telephone_number": "814-833-9533",
            "fax_number": "814-833-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CINDY",
        "middle_name": "KAY",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "LIBBEN",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.