Amber Moore

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2008022069 Issued in MO

Practice address

31606 NE Pink Hill Road
Grain Valley, MO 64029-0304

Phone

(816) 847-5006

Fax

(816) 229-4831

NPI assigned

Jun 8, 2011

Last updated

Jun 8, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

• Grain Valley R-V School District

  • Local Education Agency (LEA)
  • Grain Valley, MO
  • NPI 1295035137
  NPD (past)

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1932493772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31606 NE PINK HILL ROAD",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640290304",
            "telephone_number": "816-847-5006",
            "fax_number": "816-229-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31606 NE PINK HILL ROAD",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640290304",
            "telephone_number": "816-847-5006",
            "fax_number": "816-229-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2008022069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Miller
• Mind Over Matters Senior Care, LLC
• Missouri Dental Professionals, Richard Straus, DMD, PC (Dental Care of Eagle Valley)
• Emily Mitchell
• Monica Moeller
• Brandy Mosier
• Gregory Allen Moulton
• Brad A. Mouse, DO
• Brooke Alexa Mullendore, OTR/L, OTD
• Brenna Coleen Nevels Mumm

• Speech-Language Pathologist in Grain Valley, MO
• Providers in Grain Valley, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.