Active NPI
Kyla Moore, SLP
- Speech-Language Pathologist
- McKinney, TX
National Provider Identifier
1972040905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 18936
- Practice address
- 6591 Sparrow PT
McKinney, TX 75071-3076 - Phone
- (214) 843-7000
- NPI assigned
- Jan 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA17371 | FL | |
| Speech-Language Pathologist | 235Z00000X | 18936 | TX | Primary |
Addresses
Primary practice location
6591 Sparrow PT
McKinney, TX 75071-3076
Mailing address
6591 Sparrow PT
McKinney, TX 75071-3076
Phone (214) 843-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972040905 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clearexpressions@pobox.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18936 | TX | MD | Dentist |
| SA17371 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588550400000",
"number": "1972040905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6591 SPARROW PT",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750713076",
"telephone_number": "214-843-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6591 SPARROW PT",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750713076",
"telephone_number": "214-843-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "KYLA",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-29",
"last_updated": "2020-05-04",
"certification_date": "2020-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA17371",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "18936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972040905",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clearexpressions@pobox.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Work email",
"address_1": "6591 Sparrow Pt",
"city": "McKinney",
"state": "TX",
"country_code": "US",
"postal_code": "750713076",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.