Individual provider Active NPI

Robyn Geannine Moore

  • Speech-Language Pathologist
  • Loveland, CO
National Provider Identifier
1669163358
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0002889 Issued in CO
Practice address
5689 McWhinney Blvd
Loveland, CO 80538-8826
Phone
(970) 292-8473
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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 SLP.0002889 CO Primary

Addresses

Primary practice location

5689 McWhinney Blvd
Loveland, CO 80538-8826

Mailing address

5689 McWhinney Blvd
Loveland, CO 80538-8826
Phone (970) 292-8473

Other practice location 1

10184 E I25 Frontage Rd
Firestone, CO 80504-5445
Phone (720) 378-6670

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

State licenses

LicenseStateTypeSpecialty
SLP.0002889COMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1669163358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5689 MCWHINNEY BLVD",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388826",
            "telephone_number": "970-292-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5689 MCWHINNEY BLVD",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388826",
            "telephone_number": "970-292-8473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10184 E I25 Frontage Rd",
            "address_purpose": "LOCATION",
            "city": "Firestone",
            "state": "CO",
            "postal_code": "805045445",
            "country_code": "US",
            "telephone_number": "720-378-6670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ROBYN",
        "middle_name": "GEANNINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0002889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.