Katlin Moyer, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202006752 Issued in VA

Practice address

120 Anderson Ave
Bowling Green, VA 22427-9401

Phone

(267) 994-4470

NPI assigned

Nov 1, 2013

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

Other names 1

• Katlin Fleischut Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1336578236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ANDERSON AVE",
            "city": "BOWLING GREEN",
            "state": "VA",
            "postal_code": "224279401",
            "telephone_number": "267-994-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ANDERSON AVE",
            "city": "BOWLING GREEN",
            "state": "VA",
            "postal_code": "224279401",
            "telephone_number": "267-994-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "KATLIN",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATLIN",
            "last_name": "FLEISCHUT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristi Michelle Maupin, ATC,DPT
• Medical Facilities of America XL
• Juliet E Millard, PHD
• Jacqueline Morgan, DPT
• Laura Pennington Mosonyi, MS OTR
• Remuda Ranch Center for Eating Disorders East, Inc.
• Richard D Hyltoir DDS PC
• Elizabeth Rivlin, FNP
• RX LLC
• Preeti K Sastry, DDS

• Speech-Language Pathologist in Bowling Green, VA
• Providers in Bowling Green, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.