Jordan Moore

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

4701 Patrick Henry Dr., BLDG 23, Suite D
Santa Clara, CA 95054

Phone

(408) 807-6807

NPI assigned

Jun 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1529798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1255826111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 HOLLYHOCK ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945511405",
            "telephone_number": "925-683-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 PATRICK HENRY DR., BLDG 23, SUITE D",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "95054",
            "telephone_number": "408-807-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-24",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION",
            "identifier": "NA",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA SPEECH, LANGUAGE, AND HEARING AID DISPENSER'S BOARD",
            "identifier": "11598",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Laura Montgomery, MD
• Jannell Patricia Montoya
• Divya Moodalbail
• Aarian Moogat
• Moon Acupuncture Inc
• Kandice Moore, MS, PPS
• Mark Tyler Moore, AUD
• Brianna Morales Ruiz, CPT
• Alicia Miranda Morales
• Damaris D Morales

• Speech-Language Pathologist in Santa Clara, CA
• Providers in Santa Clara, 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 Feb 5, 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.