Active NPI
Rachel Moore, SLPA
- Speech-Language Assistant
- Orlando, FL
National Provider Identifier
1871268680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- Practice address
- 10102 Eastern Lake Ave,
Apt 27 BLDG 104
Orlando, FL 32817 - Phone
- (954) 594-3790
- NPI assigned
- Aug 12, 2021
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | FL | ||
| Speech-Language Assistant | 2355S0801X | FL | Primary |
Addresses
Primary practice location
10102 Eastern Lake Ave,
Apt 27 BLDG 104
Orlando, FL 32817
Mailing address
10102 Eastern Lake Ave,
Apt 27 BLDG 104
Orlando, FL 32817
Phone (954) 594-3790
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1871268680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10102 EASTERN LAKE AVE,",
"address_2": "APT 27 BLDG 104",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32817",
"telephone_number": "954-594-3790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10102 EASTERN LAKE AVE,",
"address_2": "APT 27 BLDG 104",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32817",
"telephone_number": "954-594-3790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "RACHEL",
"credential": "SLPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-12",
"last_updated": "2021-09-21",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.