Individual provider Active NPI

Amanda Leigh Moore, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Richmond, KY
National Provider Identifier
1679666374
Registry record updated May 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
141362 Issued in KY
Practice address
113 Oreda Dr
Richmond, KY 40475-7917
Phone
(859) 536-0847
Fax
(859) 795-3448
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2025

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 141362 KY Primary

Addresses

Primary practice location

113 Oreda Dr
Richmond, KY 40475-7917

Mailing address

113 Oreda Dr
Richmond, KY 40475-7917
Phone (859) 536-0847

Other practice location 1

150 Maryland Ave
Winchester, KY 40391-1217
Phone (859) 536-0847

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
141362KYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747526400000",
    "number": "1679666374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 OREDA DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757917",
            "telephone_number": "859-536-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 OREDA DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757917",
            "telephone_number": "859-536-0847",
            "fax_number": "859-795-3448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "KY",
            "postal_code": "403911217",
            "country_code": "US",
            "telephone_number": "859-536-0847",
            "fax_number": "859-795-3448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-05-18",
        "certification_date": "2025-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "141362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.