Active NPI
Naomi Moore, CCC-SLP
- Speech-Language Pathologist
- Willard, OH
National Provider Identifier
1962302745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.17070
- Practice address
- 4139 Bullhead Rd
Willard, OH 44890-9259 - Phone
- (419) 951-5062
- NPI assigned
- Nov 6, 2026
- Last updated
- Nov 6, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP.17070 | OH | Primary |
Addresses
Primary practice location
4139 Bullhead Rd
Willard, OH 44890-9259
Mailing address
4139 Bullhead Rd
Willard, OH 44890-9259
Other practice location 1
1500 Harding Hwy E
Marion, OH 43302-4523
Phone (740) 223-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793923200000",
"number": "1962302745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4139 BULLHEAD RD",
"city": "WILLARD",
"state": "OH",
"postal_code": "448909259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4139 BULLHEAD RD",
"city": "WILLARD",
"state": "OH",
"postal_code": "448909259",
"telephone_number": "419-951-5062"
}
],
"practiceLocations": [
{
"address_1": "1500 Harding Hwy E",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "OH",
"postal_code": "433024523",
"country_code": "US",
"telephone_number": "740-223-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "NAOMI",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-11-06",
"last_updated": "2026-11-06",
"certification_date": "2026-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.17070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willard, OH
- Mercy Health - Willard Hospital LLC
- Mercy Health - Willard Hospital LLC (Mercy Health - Willard Hospital)
- Mercy Health System-Northern Region (Mercy Health Partners)
- Midwest Emergency Services Ohio, Inc
- Vanessa Kaye Montgomery, LPN
- Sarra Moore
- Sherri Lynnette Mullins, RN
- Thomas Paul Musser
- Leslie B Newland, COTA/L
- Abigail Hope Newman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.