Laura Moma, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146013297 Issued in IL

Practice address

2715 N 27TH St
Decatur, IL 62526-2171

Phone

(217) 429-1052

NPI assigned

Aug 16, 2016

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 names 1

• Laura Hillman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Macon Resources, Inc.

  • Public Health or Welfare Agency
  • Decatur, IL
  • NPI 1265589246
  NPD (past)

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1528513884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 RICH LN",
            "city": "MT ZION",
            "state": "IL",
            "postal_code": "625491039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 N 27TH ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262171",
            "telephone_number": "217-429-1052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 Woodfield Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Savoy",
            "state": "IL",
            "postal_code": "618749505",
            "country_code": "US",
            "telephone_number": "217-355-5905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOMA",
        "first_name": "LAURA",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146013297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "HILLMAN",
            "credential": "MA, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Judy Ann Minton, CNP
• Michelle Elizabeth Minton, LCPC
• Mission Care of Illinois, LLC
• Cassie Mitchell, LSW
• Jignesh Modi, M.D.
• Mamatha Moodalagiriaiah, M.D
• Karen Sue Moody, CRNA
• Alyssa G. Moomaw, MS, CCC-SLP/L
• Amanda Moore
• Elizabeth Moore, DMD

• Speech-Language Pathologist in Decatur, IL
• Providers in Decatur, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.