Susan N. Moore, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6190 Issued in NC

Practice address

1086 Jenkins Branch LN
Mount Ulla, NC 28125-8699

Phone

(704) 663-0816

NPI assigned

Jun 3, 2008

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

Other identifiers 1

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223596800000",
    "number": "1962661066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 JENKINS BRANCH LN",
            "city": "MOUNT ULLA",
            "state": "NC",
            "postal_code": "281258699",
            "telephone_number": "704-663-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 JENKINS BRANCH LN",
            "city": "MOUNT ULLA",
            "state": "NC",
            "postal_code": "281258699",
            "telephone_number": "704-663-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SUSAN",
        "middle_name": "N.",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412014",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hillary White Graham, FNP-C
• Nancy Meade Hale, PT
• Kari Joyce
• Kim Linville
• Marla S McKenna, CCC SLP
• One Step at a Time Therapy Services, Inc.
• Kala Powell, OTR/L
• Elizabeth Wiley Ritchie
• Bonnie Yaeko Schwengel
• Michael A Slingerland

• Speech-Language Pathologist in Mount Ulla, NC
• Providers in Mount Ulla, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.