Rachelle K Moore, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9662 Issued in CA

Practice address

1835 W la Veta Ave
Orange, CA 92868-4132

Phone

(714) 978-6800

NPI assigned

Jan 15, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1558547950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24310 MOULTON PKWY",
            "address_2": "O-204",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 W LA VETA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684132",
            "telephone_number": "714-978-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RACHELLE",
        "middle_name": "K",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "9662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Jovon Moore
• Kendra Moore
• Kerry Lynn Moore, LCSW
• Lisa Moore
• Michael Moore, MD
• Richard Moore, MD
• Tyler B Moore, MD
• Rita M. Moorman, M.D.
• Deepak Mohan Moosad, D.C.
• Mala Moosad, R.N. LA.C

• Speech-Language Pathologist in Orange, CA
• Providers in Orange, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.