Individual provider Active NPI

Haylynn Moore

  • Speech-Language Pathologist
  • Beebe, AR
National Provider Identifier
1750730875
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP4193 Issued in AR
Practice address
1201 W Center St
Beebe, AR 72012-3103
Phone
(501) 882-5463
NPI assigned
Jun 9, 2016
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP4193 AR Primary
Speech-Language Pathologist 235Z00000X 6383 TN

Addresses

Primary practice location

1201 W Center St
Beebe, AR 72012-3103

Mailing address

1201 W Center St
Beebe, AR 72012-3103
Phone (501) 882-5463

Other practice location 1

514 S Brown St
Springfield, TN 37172-2937
Phone (615) 382-0500

Other practice location 2

502 E Race Ave
Searcy, AR 72143-4417
Phone (501) 268-3400

Other identifiers 1

IdentifierTypeStateIssuer
Q034289MedicaidTN

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
6383TNMDOrthopaedic Surgery Physician
SP4193ARMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1750730875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W CENTER ST",
            "city": "BEEBE",
            "state": "AR",
            "postal_code": "720123103",
            "telephone_number": "501-882-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W CENTER ST",
            "city": "BEEBE",
            "state": "AR",
            "postal_code": "720123103",
            "telephone_number": "501-882-5463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 S Brown St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "TN",
            "postal_code": "371722937",
            "country_code": "US",
            "telephone_number": "615-382-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 E Race Ave",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721434417",
            "country_code": "US",
            "telephone_number": "501-268-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "HAYLYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP4193",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "6383",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q034289",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beebe, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.