Active NPI
Lori Moser, CCC-SLP
- Speech-Language Pathologist
- Windsor, CO
National Provider Identifier
1386813467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 09116633
- Practice address
- 130 Whitney CT
Windsor, CO 80550-6132 - Phone
- (970) 631-9471
- NPI assigned
- Feb 22, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 09116633 | Primary |
Addresses
Primary practice location
130 Whitney CT
Windsor, CO 80550-6132
Mailing address
130 Whitney CT
Windsor, CO 80550-6132
Phone (970) 631-9471
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09116633 | Other | ASHA | |
| 55857043 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1386813467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 WHITNEY CT",
"city": "WINDSOR",
"state": "CO",
"postal_code": "805506132",
"telephone_number": "970-631-9471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 WHITNEY CT",
"city": "WINDSOR",
"state": "CO",
"postal_code": "805506132",
"telephone_number": "970-631-9471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSER",
"first_name": "LORI",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-22",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": "09116633",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "09116633",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55857043",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Windsor, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.