Individual provider Active NPI

Moira Daly, MA

  • Speech-Language Pathologist
  • Burlington, VT
National Provider Identifier
1467525360
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01098503 Issued in VT
Practice address
489 Main Street
University of Vermont Pomeroy Hall
Burlington, VT 05405-0130
Phone
(802) 656-3861
Fax
(802) 656-2528
NPI assigned
Nov 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 01098503 VT Primary

Addresses

Primary practice location

489 Main Street
University of Vermont Pomeroy Hall
Burlington, VT 05405-0130

Mailing address

489 Main Street
University of Vermont Pomeroy Hall
Burlington, VT 05405-0130
Phone (802) 656-3861

Other identifiers 2

IdentifierTypeStateIssuer
370719OtherMVP
68136OtherBLUE CROSS BLUE SHIELD

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)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467525360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 MAIN STREET",
            "address_2": "UNIVERSITY OF VERMONT POMEROY HALL",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054050130",
            "telephone_number": "802-656-3861",
            "fax_number": "802-656-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 MAIN STREET",
            "address_2": "UNIVERSITY OF VERMONT POMEROY HALL",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054050130",
            "telephone_number": "802-656-3861",
            "fax_number": "802-656-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "MOIRA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VT",
            "license": "01098503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "370719",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "68136",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.