MRS. HOLLY KEBODEAUX MOORE (NPI# 1417367897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417367897 |
| Entity Type | Individual |
| Full Name | MRS. HOLLY KEBODEAUX MOORE |
| Other Name | MS. HOLLY DANIELLE KEBODEAUX |
| Credential | L-SLP; CCC-SLP |
| Practice Address |
211 N 3rd St Suite 1 Monroe LA 71201-6731 |
| Mailing Address |
Po Box 1462 Monroe LA 71210-1462 |
| Practice Telephone | 3183228974 |
| Mailing Telephone | 3189531380 |
| Mailing Fax Number | 3183228290 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2015-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 6469 | LA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902363906 | Holly Moore | Psychologist | 281 Pennsylvania Ave, Massapequa Park, NY 11762-2846 | 2019-02-26 |
| 1801325477 | Holly Elizabeth Moore | Counselor | 2000 W Briggsmore Ave Ste 1, Modesto, CA 95350-3839 | 2017-06-07 |
| 1063704369 | Holly E Moore | Counselor | 31 Morrow St, Mansfield, MA 02048-1322 | 2011-05-05 |
| 1255648390 | Holly Suzanne Moore | Skilled Nursing Facility | 202 West Davenport Street, Crossville, IL 62827 | 2010-09-10 |
| 1992994479 | Holly D Moore | Counselor | 212 Cherokee Rd, Thomaston, GA 30286-3402 | 2007-10-19 |
| 1659982411 | Holly Marie Moore | Nurse Practitioner | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2020-08-13 |
| 1578120986 | Holly Reith Moore | Licensed Practical Nurse | 35 12th St Se, Paris, TX 75460-6006 | 2019-05-21 |
| 1568944478 | Holly Marie Moore | Counselor | 720 Wood St, Eureka, CA 95501-4413 | 2018-09-06 |
| 1598277899 | Holly Truong Moore | Nurse Practitioner | 300 Pasteur Dr, Palo Alto, CA 94304-2203 | 2017-10-27 |
| 1215333679 | Holly Lynn Moore | Social Worker | 9724 Kingston Pike, Suite 405, Knoxville, TN 37922-3347 | 2014-11-13 |
| Street Address |
211 N 3RD ST SUITE 1 |
| City | MONROE |
| State | LA |
| Zip Code | 71201-6731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174092621 | G B Cooley Row | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 211 N 3rd St, Monroe, LA 71201-6731 | 2018-11-14 |
| 1154876837 | G B Cooley Hospital for Retarded | Community Based Residential Treatment Facility, Mental Illness | 211 N 3rd St, Monroe, LA 71201-6731 | 2016-08-23 |
| 1427307453 | Rebecca Sidders Pickering | Speech-Language Pathologist | 211 N 3rd St, Suite A, Monroe, LA 71201-6731 | 2012-09-06 |
| 1417280959 | Physical Therapy Incorporated of Monroe (pt Inc) Inc | Durable Medical Equipment & Medical Supplies | 211 N 3rd St, Monroe, LA 71201-6731 | 2009-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986602 | Michael Nicholas Tarantino | Speech-Language Pathologist | 2399 Ferrand St Ste H, Monroe, LA 71201-3208 | 2020-09-15 |
| 1033756069 | Shelbi Lyn Ballard | Speech-Language Pathologist | 4401 Sterlington Rd, Monroe, LA 71203-2339 | 2019-12-10 |
| 1649815127 | Ashlee N. Tatum | Speech-Language Pathologist | 1809 Lexington Ave, Monroe, LA 71201-3435 | 2019-11-08 |
| 1518525963 | Gerri Lipsey | Speech-Language Pathologist | 7950 Millhaven Rd, Monroe, LA 71203-9008 | 2019-05-31 |
| 1669944849 | Kelli Carner | Speech-Language Pathologist | 3000 Vivian Rd, Monroe, MI 48162-8600 | 2018-12-27 |
| 1659862209 | Saya Kazahaya | Speech-Language Pathologist | N3150 State Road 81, Monroe, WI 53566-9397 | 2018-05-18 |
| 1053816538 | Anna Reed Oakley | Speech-Language Pathologist | 1688 Dogwood Trl, Monroe, GA 30655-5235 | 2018-03-27 |
| 1316464605 | Pauline V Fontana | Speech-Language Pathologist | 2700 W Deborah Dr, Monroe, LA 71201 | 2017-08-28 |
| 1407370448 | Alana Davis | Speech-Language Pathologist | 1890 Hudson Cir Ste 12, Monroe, LA 71201-3545 | 2017-08-01 |
| 1730616673 | Esther Yun | Speech-Language Pathologist | 45 Gilbert St Ext, Monroe, NY 10950-2815 | 2017-05-22 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.