Jenny Kate Moss

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

122843 Issued in TX

Practice address

3310 S Broadway Ave Ste 100
Tyler, TX 75701-7851

Phone

(903) 781-1832

Fax

(877) 798-4959

NPI assigned

Sep 10, 2024

Last updated

Sep 10, 2024By 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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bo Keeling, PLLC

  • Physical Therapist
  • Tyler, TX
  • NPI 1639526783

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1861228561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 S CHILTON AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012918",
            "telephone_number": "318-957-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 S BROADWAY AVE STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017851",
            "telephone_number": "903-781-1832",
            "fax_number": "877-798-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "JENNY",
        "middle_name": "KATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "122843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cole D. Moseley, R.N.
• Stephanie Diane Moseley, CRNA
• Joy Moser
• Igor Moses
• Mehran Moshkelani
• Rebecca Moss, RN
• Shauna Moten
• Sarah Motes
• Mothe Frances Hospital
• Mother France Hospital

• Speech-Language Pathologist in Tyler, TX
• Providers in Tyler, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.