Active NPI
Meghan Layne Moline
- Speech-Language Pathologist
- North Adams, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP101173
- Practice address
- 175 Franklin St
North Adams, MA 01247-2712 - Phone
- (413) 664-4041
- NPI assigned
- Mar 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | SLP101173 | MA | Primary |
Addresses
Primary practice location
175 Franklin St
North Adams, MA 01247-2712
Mailing address
1021 Red Maple St
Centerton, AR 72719-6059
Phone (573) 778-8564
Other practice location 1
5321 Beverly Park Cir
Knoxville, TN 37918-9253
Phone (865) 687-1321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, CO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
10001 S Oswego St
Parker, CO 80134-3786
Phone (720) 386-5023
14501 E Crestline Dr
Centennial, CO 80015-2559
Phone (303) 918-1219
3800 SW Mount Carmel Dr
Bentonville, AR 72713-1012
Phone (479) 268-3207
6021 S Liverpool St
Aurora, CO 80016-6209
Phone (720) 504-7016
6383 E Girard PL
Denver, CO 80222-7447
Phone (720) 221-4266
7390 W Eastman Place
Lakewood, CO 80227-5039
Phone (720) 504-7030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP101173 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Legacy Healthcare Services Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Organizations & group practices 3
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.
-
- Physical Therapist
- Rogers, AR
- NPI 1023684370
Speech-Language Pathologist
-
- Physical Therapist
- Denver, CO
- NPI 1164620084
Speech-Language Pathologist
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1356100507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 RED MAPLE ST",
"city": "CENTERTON",
"state": "AR",
"postal_code": "727196059",
"telephone_number": "573-778-8564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 FRANKLIN ST",
"city": "NORTH ADAMS",
"state": "MA",
"postal_code": "012472712",
"telephone_number": "413-664-4041"
}
],
"practiceLocations": [
{
"address_1": "5321 Beverly Park Cir",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379189253",
"country_code": "US",
"telephone_number": "865-687-1321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLINE",
"first_name": "MEGHAN",
"middle_name": "LAYNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-18",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "SLP101173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Adams, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.