Andrea Jenae Moss

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9066300-4104 Issued in UT

Practice address

433 E 2700 S
Salt Lake City, UT 84115-3325

Phone

(313) 671-4985

NPI assigned

Sep 4, 2014

Last updated

Feb 8, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Rehabilitation Illinois LLCGroup PAC ID 2365718277, 361 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empowerme Rehabilitation Illinois, LLC

  • Multi-Specialty Clinic/Center
  • Holland, MI
  • NPI 1548865876
  Medicare reassignment Care Compare group NPD
• Empowerme Rehabilitation Illinois, LLC

  • Rehabilitation Clinic/Center
  • Mount Carmel, IL
  • NPI 1962073734

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1720489107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7748 S ROPE KEY DR APT H208",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840477567",
            "telephone_number": "313-671-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 E 2700 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841153325",
            "telephone_number": "313-671-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "ANDREA",
        "middle_name": "JENAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "9066300-4104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Joelle Moses
• Majid Moshirfar, MD
• Elisabeth Anne Mosier-Malmborg, M.S. CCC-SLP
• Charlene Mosley
• Aleksi Moss
• Coleman Moss
• David Charles Moss, PT
• Julia L. Moss, MD
• Julian Robert Moss, DO
• Lee Scott Moss, APRN

• Speech-Language Pathologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.