Active NPI
Haylynn Moore
- Speech-Language Pathologist
- Beebe, AR
National Provider Identifier
1750730875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP4193
- Practice address
- 1201 W Center St
Beebe, AR 72012-3103 - Phone
- (501) 882-5463
- NPI assigned
- Jun 9, 2016
- Last updated
- May 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q034289 | Medicaid | TN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6383 | TN | MD | Orthopaedic Surgery Physician |
| SP4193 | AR | MD | Speech-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.