Individual provider Active NPI

Megan Michelle Moore, MS CCC-SLP

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1699335869
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
115678 Issued in TX
Practice address
12710 Research Blvd Ste 395
Austin, TX 78759-4397
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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 115678 TX Primary

Addresses

Primary practice location

12710 Research Blvd Ste 395
Austin, TX 78759-4397

Mailing address

500 Chris Kelley Blvd Apt 9106
Hutto, TX 78634-5763
Phone (432) 212-3825

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address m_moore@capitalareaspeech.com

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

LicenseStateTypeSpecialty
115678TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Speech Therapy, PLLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1699335869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHRIS KELLEY BLVD APT 9106",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786345763",
            "telephone_number": "432-212-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12710 RESEARCH BLVD STE 395",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MEGAN",
        "middle_name": "MICHELLE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "m_moore@capitalareaspeech.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "12710 Research Blvd Ste 395",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787594397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.