Jacey Lynn Moore, B.A., SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

42963 Issued in TX

Practice address

14651 Dallas Pkwy Ste 200
Dallas, TX 75254-8856

Phone

(254) 366-9283

NPI assigned

Jan 11, 2023

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1740994920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HUNTINGTON WOODS ESTATES DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773774700",
            "telephone_number": "254-366-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14651 DALLAS PKWY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548856",
            "telephone_number": "254-366-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JACEY",
        "middle_name": "LYNN",
        "credential": "B.A., SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "42963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Dianne Moore, CPNP
• Erika Moore
• Hayden Moore, PT
• Howard A Moore, M.D., ASSOCIATED
• J. Kathleen Moore, MD
• Jacqueline Blair Moore, LPC
• James Adam Moore, MD
• James C Moore, CRNA
• Jasmine Danae Moore
• Jasmine N Moore, LMFT

• Speech-Language Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.