Organization Active NPI

Moonflower Pediatric Therapies, LLC

  • Speech-Language Pathologist
  • Yuma, AZ
National Provider Identifier
1316800774
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MOONFLOWER PEDIATRIC THERAPIES, LLC
Practice address
3860 W 24TH St Ste 106
Yuma, AZ 85364-9280
Phone
(928) 509-9322
NPI assigned
Dec 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Fabiola Romero Gonzalez, M.S., CCC-SLPNPI 1417790429
Title
Speech-Language Pathologist
Phone
(928) 509-9322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3860 W 24TH St Ste 106
Yuma, AZ 85364-9280

Mailing address

3860 W 24TH St Ste 106
Yuma, AZ 85364-9280

National Provider Directory

National Provider Directory

Locations

3860 W 24th St
Ste 106
Yuma, AZ 85364
Phone (928) 509-9322

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1316800774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 W 24TH ST STE 106",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853649280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 W 24TH ST STE 106",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853649280",
            "telephone_number": "928-509-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONFLOWER PEDIATRIC THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "ROMERO GONZALEZ",
        "authorized_official_first_name": "FABIOLA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "928-509-9322",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.