Individual provider Active NPI

Hannah Moore, M.S. ED., CCC-SLP

  • Speech-Language Pathologist
  • Boone, NC
National Provider Identifier
1245768555
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11239 Issued in NC
Practice address
377 Walkers Glen Way
Boone, NC 28607-9601
Phone
(828) 450-2964
NPI assigned
May 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 116636 TX
Speech-Language Pathologist 235Z00000X 11239 NC Primary

Addresses

Primary practice location

377 Walkers Glen Way
Boone, NC 28607-9601

Mailing address

377 Walkers Glen Way
Boone, NC 28607-9601

Other practice location 1

14905 Fm 775
Floresville, TX 78114-6221
Phone (830) 393-5310

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
116636TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer Speech Therapy Past Accepting new patients

Organizations & group practices 1

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": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1245768555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 WALKERS GLEN WAY",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286079601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 WALKERS GLEN WAY",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286079601",
            "telephone_number": "828-450-2964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14905 Fm 775",
            "address_purpose": "LOCATION",
            "city": "Floresville",
            "state": "TX",
            "postal_code": "781146221",
            "country_code": "US",
            "telephone_number": "830-393-5310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "HANNAH",
        "credential": "M.S. ED., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116636",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "11239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.