Individual provider Active NPI

Jessica Ledger-Moore, SLPA

  • Speech-Language Assistant
  • Shawnee, OK
National Provider Identifier
1497347082
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
226 Issued in OK
Practice address
44038 45TH St Ste a
Shawnee, OK 74804-9683
Phone
(405) 821-0015
NPI assigned
Feb 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 226 OK Primary

Addresses

Primary practice location

44038 45TH St Ste a
Shawnee, OK 74804-9683

Mailing address

44038 45TH St Ste a
Shawnee, OK 74804-9683
Phone (405) 886-7203

Other practice location 1

1104 E Maguire Rd
Noble, OK 73068-8432
Phone (405) 872-9201

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

LicenseStateTypeSpecialty
226OKMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Today'S Therapy Solutions Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1497347082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44038 45TH ST STE A",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748049683",
            "telephone_number": "405-886-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44038 45TH ST STE A",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748049683",
            "telephone_number": "405-821-0015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104 E Maguire Rd",
            "address_purpose": "LOCATION",
            "city": "Noble",
            "state": "OK",
            "postal_code": "730688432",
            "country_code": "US",
            "telephone_number": "405-872-9201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDGER-MOORE",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "OK",
            "license": "226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.