Individual provider Active NPI

Kristin Erin Moreau, MS, CCC-SLP

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1184102477
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
113185 Issued in TX
Practice address
6000 Reims Rd #4106
Houston, TX 77036
Phone
(281) 760-5442
NPI assigned
Jul 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 113185 TX Primary

Addresses

Primary practice location

6000 Reims Rd #4106
Houston, TX 77036

Mailing address

6000 Reims Rd Apt 4106
Houston, TX 77036-3056
Phone (281) 760-5442

Other practice location 1

10215 Greenhouse Rd
Cypress, TX 77433-4713
Phone (281) 760-5442

Other practice location 2

11521 Telge Rd
Cypress, TX 77429-3386
Phone (281) 760-5442

Other identifiers 2

IdentifierTypeStateIssuer
14054069OtherASHA CCC-SLP
113185OtherTXSLP- TEXAS DEPARTMENT OF LICENSING AND REGULATION

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
113185TXMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1184102477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 REIMS RD APT 4106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363056",
            "telephone_number": "281-760-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 REIMS RD #4106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77036",
            "telephone_number": "281-760-5442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10215 Greenhouse Rd",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774334713",
            "country_code": "US",
            "telephone_number": "281-760-5442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11521 Telge Rd",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774293386",
            "country_code": "US",
            "telephone_number": "281-760-5442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOREAU",
        "first_name": "KRISTIN",
        "middle_name": "ERIN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CCC-SLP",
            "identifier": "14054069",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP- TEXAS DEPARTMENT OF LICENSING AND REGULATION",
            "identifier": "113185",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.