Tracy Moran, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP9066 Issued in AZ

Practice address

18633 W Comet Ave
Waddell, AZ 85355-4453

Phone

(732) 222-0422

NPI assigned

Jun 21, 2015

Last updated

Jun 21, 2015By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1434844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434844800000",
    "number": "1750763298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18633 W COMET AVE",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853554453",
            "telephone_number": "732-222-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18633 W COMET AVE",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853554453",
            "telephone_number": "732-222-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "TRACY",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-21",
        "last_updated": "2015-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP9066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Luft
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• Sabrina C Medina, LMSW
• Cassandra Lizette Molina
• Fadi Nabaa
• Haylie Simone Nelson, B.S.
• Michelle Neumann, FP
• Elizabeth Norman
• Meloney Nunez, LPC

• Speech-Language Pathologist in Waddell, AZ
• Providers in Waddell, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2015; 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.