Marianna Moudy, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60306687 Issued in WA

Practice address

22443 SE 240TH PL
Suite B101
Maple Valley, WA 98038-5898

Phone

(425) 358-4885

NPI assigned

Oct 26, 2012

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

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1376896480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39237 258TH AVE SE",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980228867",
            "telephone_number": "817-721-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22443 SE 240TH PL",
            "address_2": "SUITE B101",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385898",
            "telephone_number": "425-358-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUDY",
        "first_name": "MARIANNA",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60306687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Moniz
• Jerianne Montgomery, OD
• Ashley R Montoya-Holden, RBT
• L. Carlos Morales, DDS, PS
• Brandon Morris, OD
• Marti Bunker Mueller, REGISTERED NURSE
• Multicare Health System
• Sarah Mun, PA-C
• Gina Maria Munro, SUDP
• Amy E Munson

• Speech-Language Pathologist in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.