Active NPI
Nancy B. Horowitz Moilanen, SPEECH PATHOLOGIST
- Speech-Language Pathologist
- Willits, CA
National Provider Identifier
1811179336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 3487
- Practice address
- 1 Madrone St
Willits, CA 95490-4225 - Phone
- (707) 459-4454
- Fax
- (707) 459-3163
- NPI assigned
- Nov 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP 3487 | CA | Primary |
Addresses
Primary practice location
1 Madrone St
Willits, CA 95490-4225
Mailing address
PO Box 1563
Willits, CA 95490-1563
Phone (707) 459-4454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ81863Z | Medicaid | CA |
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 |
|---|---|---|---|
| SP 3487 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1811179336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1563",
"city": "WILLITS",
"state": "CA",
"postal_code": "954901563",
"telephone_number": "707-459-4454",
"fax_number": "707-459-3163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MADRONE ST",
"city": "WILLITS",
"state": "CA",
"postal_code": "954904225",
"telephone_number": "707-459-4454",
"fax_number": "707-459-3163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOILANEN",
"first_name": "NANCY",
"middle_name": "B. HOROWITZ",
"credential": "SPEECH PATHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP 3487",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ81863Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Willits, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.