Margret Moore, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S-5050 Issued in MS

Practice address

2080 S Frontage Rd Ste 108
Vicksburg, MS 39180-5882

Phone

(601) 883-1983

Fax

(601) 883-1938

NPI assigned

Dec 17, 2024

Last updated

Dec 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diagnostic Testing Solutions

  • Physiological Laboratory
  • Vicksburg, MS
  • NPI 1154746154
  NPD (past)
• Elite Performance and Rehab, LLC

  • Physical Therapy Clinic/Center
  • Vicksburg, MS
  • NPI 1255877346
  NPD (past)

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1336956853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901A MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803711",
            "telephone_number": "601-638-5518",
            "fax_number": "601-638-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 S FRONTAGE RD STE 108",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805882",
            "telephone_number": "601-883-1983",
            "fax_number": "601-883-1938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901A Mission 66",
            "address_purpose": "LOCATION",
            "city": "Vicksburg",
            "state": "MS",
            "postal_code": "391803711",
            "country_code": "US",
            "telephone_number": "601-638-5518",
            "fax_number": "601-638-7122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARGRET",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S-5050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Moncrief Smith
• Roxane Theresa Moncure, AGNP
• Ronnie Monsour
• Moore Counseling and Consultation Services LLC
• Christine Moore
• Tanzania Mala Moore
• Thomas C Moore, MD
• Sheila Yvonne Moran
• Bonnie Lee Morehead, CFNP
• Morgan Dentistry, PA (Ellis & Morgan Family Dentistry)

• Speech-Language Pathologist in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.