MRS. CAROLYN DIANE MOORE (NPI# 1568725950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568725950 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN DIANE MOORE |
| Credential | MA, CCC-SLP |
| Practice Address |
1544 Greenly St Hudsonville MI 49426-9674 |
| Practice Telephone | 6169140648 |
| Mailing Telephone | 6169140648 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588151740 | Carolyn Jean Moore | Physical Therapist | 100 Baldwin Blvd, Fishersville, VA 22939-2375 | 2018-04-13 |
| 1346496379 | Carolyn S Moore | Nurse Practitioner | 4741 Rolling Meadows Dr, Memphis, TN 38128-4851 | 2008-08-11 |
| 1437358975 | Carolyn Neoma Moore | Recreation Therapist | 12007 S Cedar Ave, Jenks, OK 74037-3344 | 2007-07-14 |
| 1386869303 | Carolyn R. Moore | Social Worker | 50 Stutz Bearcat Dr, Suite 2, Sedona, AZ 86336-5268 | 2007-04-16 |
| 1578614731 | Carolyn Joyce Moore | Nurse Practitioner | 3579 Franklin, Eugene, OR 97403-2356 | 2007-01-15 |
| 1700934163 | Carolyn Jo Moore | Counselor | 2525 Maine Ave, Richmond, CA 94804-2827 | 2007-01-08 |
| 1184781486 | Carolyn Moore | Dentist | 257 Commerce Dr, Peachtree City, GA 30269-1484 | 2007-01-03 |
| 1659445450 | Carolyn Moore | Dentist | 1769 Inkster, Garden City, MI 48135-2499 | 2006-11-20 |
| 1750316758 | Carolyn Lewis Moore | Nurse Practitioner | 1718 North Foster Dr, Suite B, Baton Rouge, LA 70806 | 2006-07-11 |
| 1720068182 | Carolyn Mae Moore | Social Worker | 1600 S Main St, Lebanon, OR 97355-3109 | 2006-01-20 |
| Street Address |
1544 GREENLY ST |
| City | HUDSONVILLE |
| State | MI |
| Zip Code | 49426-9674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680089 | Bree D Bode | Health Educator | 3625 Black Star St, Hudsonville, MI 49426 | 2020-05-07 |
| 1306409891 | Rachael Elizabeth Schutter | Physical Therapy Assistant | 3650 Vanburen St, Hudsonville, MI 49426 | 2019-04-19 |
| 1215430699 | Jennifer Anne-gluszewski Patterson | Physical Therapist | 6105 Wilson Ave, Wyoming, MI 49426 | 2018-03-13 |
| 1457850802 | Spectrum Health Primary Care Partners | Physician Assistant | 4075 32nd Ave, Hudsonville, MI 49426 | 2018-02-12 |
| 1952845182 | Katie Farnquist | Counselor | 1388 Baldwin St., Suite A, Jenison, MI 49426 | 2016-12-07 |
| 1205238540 | Marta Stern | Mechanotherapist | 3152a Port Sheldon Rd., Hudsonville, MI 49426 | 2014-09-18 |
| 1376883355 | Traci L Potter | Social Worker | 4216 Nancy St., Hudsonville, MI 49426 | 2013-02-27 |
| 1871846790 | Dignity Home Care Professionals | Home Health | 7499 Russell Dr, Hudsonville, MI 49426 | 2012-10-16 |
| 1427332303 | Benjamin Matthew Bringedahl | Pharmacist | 3457 Stonyridge Dr, Hudsonville, MI 49426 | 2011-10-10 |
| 1295017234 | Jennifer Lemieux | Pharmacist | 1463 Rebecca Run, Hudsonville, MI 49426 | 2011-09-15 |
| Find all providers in zip 49426 | ||||
| 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 |
|---|---|---|---|---|
| 1013467208 | Tina Marie Monahon | Speech-Language Pathologist | 2247 Outback Dr, Hudsonville, MI 49426-7718 | 2016-10-11 |
| 1265856439 | Rachel Vanzweden | Speech-Language Pathologist | 6693 Barry St, Hudsonville, MI 49426-9507 | 2014-02-09 |
| 1265739650 | Cortney Leigh Vervoort | Speech-Language Pathologist | 6498 Bradenwood Dr, Hudsonville, MI 49426-8225 | 2011-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113163 | Adam Gray | Speech-Language Pathologist | 1775 S Rochester Rd, Rochester Hills, MI 48307-3569 | 2020-10-28 |
| 1588264964 | Hannah Miller | Speech-Language Pathologist | 16925 Ability Way, Grand Haven, MI 49417-9325 | 2020-10-27 |
| 1538767322 | Mary Lynn Broome | Speech-Language Pathologist | 9281 Sumpter Rd, Maybee, MI 48159-9613 | 2020-10-13 |
| 1174121040 | Speech and Language Solutions LLC | Speech-Language Pathologist | 24001 Southfield Rd Ste 206, Southfield, MI 48075-2847 | 2020-10-13 |
| 1235736570 | Play On Speech Therapy LLC | Speech-Language Pathologist | 323 Maywood Ave, Rochester, MI 48307-1540 | 2020-10-08 |
| 1003413774 | Mikeayla Pellegrino | Speech-Language Pathologist | 103 E Mansion St Ricketson Building, Marshall, MI 49068 | 2020-10-06 |
| 1710594494 | Danielle Vayis | Speech-Language Pathologist | 15910 Deering St, Livonia, MI 48154-3469 | 2020-09-28 |
| 1275149536 | Steele Speech Services LLC | Speech-Language Pathologist | 1993 Hawthorne Rd, Grosse Pointe Woods, MI 48236-1431 | 2020-09-21 |
| 1033725445 | Alexandria Wride Starnes | Speech-Language Pathologist | 5829 Wood Valley Dr, Haslett, MI 48840-9787 | 2020-09-21 |
| 1609480516 | Now We're Talking Pllc | Speech-Language Pathologist | 3847 Kings Point Dr, Troy, MI 48083-5320 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | HUDSONVILLE |
| Zip Code | 49426 |
Please comment or provide details below to improve the information on MRS. CAROLYN DIANE MOORE.
| 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.