Jordan Dru Moore

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2709 Francisco St Unit B
Austin, TX 78702-3920

Phone

(361) 816-5458

NPI assigned

Aug 12, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1356952337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 FRANCISCO ST UNIT B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 FRANCISCO ST UNIT B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023920",
            "telephone_number": "361-816-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JORDAN",
        "middle_name": "DRU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jordan.moore@mgahomecare.com",
            "affiliation": "N",
            "address_1": "2708 Francisco St",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787023921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janice Moore
• Janna Moore, LCSW
• Jayme Katrice Moore, CPM, LM
• Jessica Moore
• Jessica Joy Moore
• Jordan Michael Moore
• Julia Moore, LCSW
• Kaitlin Moore
• Karol L Moore, MA, CCC-A
• Keely Ann Moore

• Speech-Language Pathologist in Austin, TX
• Providers in Austin, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.