Mercedes Moore

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA11283 Issued in AZ

Practice address

20003 N 23Rd Ave Apt 230
Phoenix, AZ 85027-4161

Phone

(323) 395-7101

NPI assigned

Oct 25, 2018

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

Other names 1

• Ms. Mercedes Moore Other name

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": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1841767191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850801101",
            "telephone_number": "323-395-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20003 N 23RD AVE APT 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274161",
            "telephone_number": "323-395-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MERCEDES",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA11283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERCEDES",
            "last_name": "MOORE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laura Simchak Moore, MPT
• Lindsay Cota Moore, PT, DPT
• Logan Moore, PHARMD
• Mark W Moore, MPT, CWS
• Meagan Moore, ND
• Michael Moore, CCP
• Michael Moore
• Monica Moore
• Natalie Jean Moore, MD
• Pamela Lynn Moore, RN FNP

• Speech-Language Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.