Active NPI
Martine Exumat Moore, MS., CCC-SLP
- Speech-Language Pathologist
- Clemson, SC
National Provider Identifier
1619861143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8961
- Practice address
- 500 Downs Loop
Clemson, SC 29631-2035 - Phone
- (864) 654-1155
- NPI assigned
- Jun 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8961 | SC | Primary |
Addresses
Primary practice location
500 Downs Loop
Clemson, SC 29631-2035
Mailing address
205 Burr Oak LN
Piedmont, SC 29673-7356
Phone (864) 354-2064
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8961 | SC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1619861143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 BURR OAK LN",
"city": "PIEDMONT",
"state": "SC",
"postal_code": "296737356",
"telephone_number": "864-354-2064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 DOWNS LOOP",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296312035",
"telephone_number": "864-654-1155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MARTINE",
"middle_name": "EXUMAT",
"credential": "MS., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-09",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "8961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clemson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.