Individual provider Active NPI

Abigail Wiatt, MS. CCC-SLP,SERVICES

  • Speech-Language Pathologist
  • Moorpark, CA
National Provider Identifier
1497682108
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
35018 Issued in CA
Practice address
240 Flory Ave
Moorpark, CA 93021-1819
Phone
(805) 378-6311
NPI assigned
May 6, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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 35018 CA Primary

Addresses

Primary practice location

240 Flory Ave
Moorpark, CA 93021-1819

Mailing address

642 Spring Oak Rd Unit 1312
Camarillo, CA 93010-7552

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

NPI Registry JSON

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

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1497682108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 SPRING OAK RD UNIT 1312",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930107552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 FLORY AVE",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211819",
            "telephone_number": "805-378-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIATT",
        "first_name": "ABIGAIL",
        "credential": "MS. CCC-SLP,SERVICES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "35018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorpark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.