Matthew Moore

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8202 Issued in MN

Practice address

3000 White Bear Ave N Ste 28
Maplewood, MN 55109-1324

Phone

(651) 770-8884

NPI assigned

Jul 25, 2007

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1578753760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 STILLWATER AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551063626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WHITE BEAR AVE N STE 28",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091324",
            "telephone_number": "651-770-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Monson, MA
• Crystal A Montgomery, F.N.P.
• Hailey Montour, PHARMD
• Brittney Moore, ASL INTERPRETER
• Havona Moore
• Maurice Moore
• Travis Moore, RN
• Trista Lynn Moore, DPT
• Chiara Antang Morfaw, CNP
• Sherry A Moriarty, MD

• Speech-Language Pathologist in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.