Active NPI
Peggie Collins Moffitt
- Speech-Language Pathologist
- New Bern, NC
National Provider Identifier
1457494338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1704
- Practice address
- 2000 Neuse Blvd
New Bern, NC 28560-3449 - Phone
- (252) 633-8640
- Fax
- (252) 636-5376
- NPI assigned
- Feb 14, 2007
- Last updated
- Apr 23, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 1704 | NC | Primary |
Addresses
Primary practice location
2000 Neuse Blvd
New Bern, NC 28560-3449
Mailing address
2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018TE | Other | NC | BLUE CROSS GROUP BILLING NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1704 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208908800000",
"number": "1457494338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 NEUSE BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285603449",
"telephone_number": "252-633-8640",
"fax_number": "252-636-5376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 NEUSE BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285603449",
"telephone_number": "252-633-8640",
"fax_number": "252-636-5376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFFITT",
"first_name": "PEGGIE",
"middle_name": "COLLINS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "1704",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GROUP BILLING NUMBER",
"identifier": "018TE",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.