Active NPI
Gail Moffatt, M.S./C.C.C.
- Speech-Language Pathologist
- El Reno, OK
National Provider Identifier
1306379102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 757
- Practice address
- 100 S Rock Island Ave
El Reno, OK 73036-2733 - Phone
- (405) 615-1437
- NPI assigned
- Apr 7, 2017
- 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 | 757 | OK | Primary |
Addresses
Primary practice location
100 S Rock Island Ave
El Reno, OK 73036-2733
Mailing address
100 S Rock Island Ave
El Reno, OK 73036-2733
Phone (405) 615-1437
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 |
|---|---|---|---|
| 757 | OK | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491523200000",
"number": "1306379102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S ROCK ISLAND AVE",
"city": "EL RENO",
"state": "OK",
"postal_code": "730362733",
"telephone_number": "405-615-1437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S ROCK ISLAND AVE",
"city": "EL RENO",
"state": "OK",
"postal_code": "730362733",
"telephone_number": "405-615-1437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFFATT",
"first_name": "GAIL",
"credential": "M.S./C.C.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-07",
"last_updated": "2017-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Reno, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.