Individual provider Active NPI

Apryl Suzanne Moore, SLP

  • Speech-Language Pathologist
  • Southaven, MS
National Provider Identifier
1588904015
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S3655 Issued in MS
Practice address
7160 Tchulahoma Rd Ste 4
Southaven, MS 38671-9266
Phone
(662) 349-2733
Fax
(662) 536-1849
NPI assigned
Feb 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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 S3655 MS Primary

Addresses

Primary practice location

7160 Tchulahoma Rd Ste 4
Southaven, MS 38671-9266

Mailing address

5271 Getwell Rd
Southaven, MS 38672-9608
Phone (662) 349-2733

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
S3655MSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Speech Therapy, LLC Speech-Language Pathologist Current Accepting new patients
Therapy Zone, LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1588904015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5271 GETWELL RD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386729608",
            "telephone_number": "662-349-2733",
            "fax_number": "662-536-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7160 TCHULAHOMA RD STE 4",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719266",
            "telephone_number": "662-349-2733",
            "fax_number": "662-536-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "APRYL",
        "middle_name": "SUZANNE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.