Kimberly Moran, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL012621 Issued in PA

Practice address

129 Sunflower LN
Palmyra, PA 17078-9201

Phone

(717) 645-6293

NPI assigned

Aug 18, 2016

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

Other names 1

• Kimberly Wenner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1407301492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 SUNFLOWER LN",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170789201",
            "telephone_number": "717-645-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 SUNFLOWER LN",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170789201",
            "telephone_number": "717-645-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "KIMBERLY",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL012621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "WENNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Natasha Lynn Miller, REGISTERED NURSE
• Mimosa Family Dentistry, PC.
• Susan Minnick, PSY.D.
• Mariah Mitchell
• Ronica Montagna, CRNP
• Tara Ann Morrissey, R.N.
• Caleb Paul Moser, PTA
• Terry James Moses I
• Madalyn Moynihan, COTA/L
• Gavin Nortier

• Speech-Language Pathologist in Palmyra, PA
• Providers in Palmyra, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.