Earlene Marie Moreno, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

103465 Issued in TX

Practice address

5415 Lost LN
San Antonio, TX 78238-2754

Phone

(210) 448-9111

NPI assigned

Apr 22, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• A Plus Pediatric Rehab, Inc.

  • Rehabilitation Clinic/Center
  • San Antonio, TX
  • NPI 1497997019

  Speech-Language Pathologist

  NPD
• Teamability, Inc.

  • Rehabilitation Clinic/Center
  • San Antonio, TX
  • NPI 1114103546
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1295900140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9514 CONSOLE DR STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292042",
            "telephone_number": "210-448-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 LOST LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782382754",
            "telephone_number": "210-448-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "EARLENE",
        "middle_name": "MARIE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crysta Nicole Moreno, DO
• Crystal Moreno
• Diann Nicole Moreno, MSN, APRN, FNP-C
• Diego Xavier Moreno, DPT, PT
• Dulce Isabel Moreno
• Eduardo Enrique Moreno, MD
• Eileen Elizabeth Moreno
• Ezekiel Jaime Moreno
• Feliza Moreno
• Flor Abril Moreno, DDS

• All providers in San Antonio, TX
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.