Amy Moore, M.A. SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP17473 Issued in CA

Practice address

16792 Edgewater LN
Huntington Beach, CA 92649-3074

Phone

(714) 293-5066

NPI assigned

May 20, 2020

Last updated

May 20, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ocean View School District

  • Local Education Agency (LEA)
  • Huntington Beach, CA
  • NPI 1659411650
  NPD (past)

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1407479850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16792 EDGEWATER LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926493074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16792 EDGEWATER LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926493074",
            "telephone_number": "714-293-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMY",
        "credential": "M.A. SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP17473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amoore@ovsd.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "17200 Pinehurst Ln",
            "city": "Huntington Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926475569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yatzaretz Montano
• Susanne Monterosso
• Steven Montes
• Monique Deanna Montiel, AMFT
• Madeleine Caroline Montoya
• Sarah Moore
• Nancy Mora Curiel
• Angelica Mora
• Mike Mora
• Braulio Morales

• Speech-Language Pathologist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.