Lisa G Moss, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4713 Issued in TN

Practice address

301 S Gallaher View Rd Ste 105
Knoxville, TN 37919-5302

Phone

(615) 614-8833

NPI assigned

Jun 28, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jones Therapy Services LLC

  dba Associates in Pediatric Therapy

  • Pediatric Rehabilitation Medicine Physician
  • Murfreesboro, TN
  • NPI 1811213556

  Speech-Language Pathologist

  Medicare reassignment NPD
• The Teach Group, LLC

  • Speech-Language Pathologist
  • Knoxville, TN
  • NPI 1295180024
  NPD (past)

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1477817088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HOWARD DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658138",
            "telephone_number": "502-633-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S GALLAHER VIEW RD STE 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195302",
            "telephone_number": "615-614-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "LISA",
        "middle_name": "G",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528933",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Mosley, MD
• Brian T Mosrie, MD
• Heather Katherine Moss, M.D.
• Joshua Parker Moss, M.D.
• Justine Moss, BSN, RN
• Sarah Rimer Moss, LCSW
• Semajeniece Moss, RBT
• Altia Mostiller
• Danielle H Mote, FNP
• Matthew Mote, PMH-NP

• Speech-Language Pathologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.