Active NPI
Andrea Moore
- Speech-Language Pathologist
- Orangeburg, SC
National Provider Identifier
1306403571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5776
- Practice address
- 905 Ellis Ave
Orangeburg, SC 29115-5062 - Phone
- (803) 747-5606
- Fax
- (803) 937-6032
- NPI assigned
- May 23, 2019
- 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 | 5776 | SC | Primary |
Addresses
Primary practice location
905 Ellis Ave
Orangeburg, SC 29115-5062
Mailing address
PO Box 2234
Orangeburg, SC 29116-2234
Phone (803) 747-5606
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | andrea@letschattspeechlanguages.com | Direct | Let's Chatt Speech Language Services |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Let'S Chatt Speech Language Services | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Orangeburg, SC
- NPI 1942851985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1306403571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2234",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291162234",
"telephone_number": "803-747-5606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 ELLIS AVE",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291155062",
"telephone_number": "803-747-5606",
"fax_number": "803-937-6032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-23",
"last_updated": "2023-11-27",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "5776",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "andrea@letschattspeechlanguages.com",
"affiliation": "Y",
"affiliationName": "Let's Chatt Speech Language Services",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Speech Language Pathologist",
"address_1": "905 Ellis Ave",
"city": "Orangeburg",
"state": "SC",
"country_code": "US",
"postal_code": "291155062",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orangeburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.