Lenore Moore, MS/CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3771-154 Issued in WI

Practice address

1810 Kensington Dr
Waukesha, WI 53188-5616

Phone

(262) 548-1400

NPI assigned

Aug 19, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1326471962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N55W14360 CAROL DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530516805",
            "telephone_number": "262-781-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 KENSINGTON DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885616",
            "telephone_number": "262-548-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LENORE",
        "credential": "MS/CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "392",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3771-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100047307",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Momentum Movement Clinic LLC
• Ryan J Moncada, P.A
• Victoria J. Mondloch, M.D.
• Mackenzie Rae Monson
• Moore Love and Care LLC (Moore Love and Care Site 2)
• Lisa Beth Moore, LPC-IT
• Jigeesha Mopidevi, DDS
• Cailey Moran
• Kimberly Lyn Moravec
• Moreland Ear Nose & Throat Group LTD

• Speech-Language Pathologist in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.