Active NPI
Angela Annemarie Pizon-Moore, M.S., CCC-SLP
- Speech-Language Pathologist
- Tampa, FL
National Provider Identifier
1235483454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA11397
- Practice address
- 16546 N Dale Mabry Hwy
Tampa, FL 33618-1325 - Phone
- (813) 964-8481
- NPI assigned
- Nov 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA11397 | FL | Primary |
Addresses
Primary practice location
16546 N Dale Mabry Hwy
Tampa, FL 33618-1325
Mailing address
15402 Plantation Oaks Dr Apt 12
Tampa, FL 33647-2168
Phone (813) 340-8231
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA11397 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352419200000",
"number": "1235483454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15402 PLANTATION OAKS DR APT 12",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472168",
"telephone_number": "813-340-8231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16546 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336181325",
"telephone_number": "813-964-8481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIZON-MOORE",
"first_name": "ANGELA",
"middle_name": "ANNEMARIE",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-09",
"last_updated": "2012-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA11397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.