MR. JEFFREY GLENN MOULTON (NPI# 1831324433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831324433 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY GLENN MOULTON |
| Credential | M.S., CCC-SLP |
| Practice Address |
7025 Sierra Club Cir Apt 6105 Naples FL 34113-7360 |
| Practice Telephone | 7343518503 |
| Mailing Telephone | 7343518503 |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2020-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 7101004036 | MI | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | SA15131 | FL | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | MI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MICHIGAN LICENSE | 7101004036 | 01 |
| FL | FLORIDA LICENSE | SA15131 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518009612 | Jeffrey Lang Moulton | Physician Assistant | 4200 N Armenia Ave Ste 1-2, Tampa, FL 33607-6438 | 2007-02-13 |
| 1164491361 | Jeffrey S Moulton | Radiology | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2006-03-17 |
| Street Address |
7025 SIERRA CLUB CIR APT 6105 |
| City | NAPLES |
| State | FL |
| Zip Code | 34113-7360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225516040 | Arnav Inc | Pharmacy | 11556 Tamiami Trl E, Naples, FL 34113 | 2018-08-02 |
| 1184119810 | Carlos Portu Md Pllc | Internal Medicine | 12250 Tamiami Trl E Ste 208, Naples, FL 34113 | 2018-06-26 |
| 1134612302 | Christopher J Ramke | Dentist | Collier Blvd & Grand Lely Dr, Naples, FL 34113 | 2018-06-12 |
| 1285131680 | Jacqueline Anne Pittman | Social Worker | Monarch Wellness, LLC, 12264 Tamiami Trail East, Suite 202, Naples, FL 34113 | 2018-04-11 |
| 1861916173 | Allison Romeo | Counselor | 5027 Tamiami Trail East, Naples, FL 34113 | 2017-07-28 |
| 1497148365 | Haven Hhc 8 LLC | Home Health | 8795 Tamiami Trail East, Suite 201, Naples, FL 34113 | 2015-03-16 |
| 1861679227 | Nancy J. Goodwin | Emergency Medicine | 12260 Tamiami Trl E Ste 102, Naples, FL 34113 | 2008-01-29 |
| 1639391725 | Eagle Creek Dentistry, Inc. | Dentist | 12692 Tamiami Trail East, Naples, FL 34113 | 2007-05-02 |
| 1821178534 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 12703 E. Tamiami Trail, #121, Naples, FL 34113 | 2006-10-17 |
| 1306935705 | Shawn M Slattery | Optometrist | 12707 Tamiami Trail East, Naples, FL 34113 | 2006-10-12 |
| Find all providers in zip 34113 | ||||
| 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 |
|---|---|---|---|---|
| 1447851563 | Beyond Your Horizons Speech Therapy | Speech-Language Pathologist | 81 Madison Dr, Naples, ME 04055-5039 | 2020-11-04 |
| 1538783279 | Randi Powell | Speech-Language Pathologist | 3811 Airport Pulling Rd N Ste 205a, Naples, FL 34105-3269 | 2020-05-28 |
| 1790318822 | Olivia Nicole Ferguson | Speech-Language Pathologist | 1970 River Reach Dr Apt 185, Naples, FL 34104-5241 | 2020-02-17 |
| 1487294609 | Paula Sue Deluca | Speech-Language Pathologist | 12276 Tamiami Trl E, Naples, FL 34113-7954 | 2020-01-15 |
| 1073158705 | Naples Speech and Cognitive Therapy LLC | Speech-Language Pathologist | 2342 Somerset Pl, Naples, FL 34120-2864 | 2019-11-18 |
| 1508421892 | Cristina Sakthivel | Speech-Language Pathologist | 81030 Gricignano Di Aversa, Naples, ITALY 81030 | 2019-05-02 |
| 1700342672 | Jennifer Zimm Beaudet | Speech-Language Pathologist | 8408 Laurel Lakes Blvd, Naples, FL 34119-9794 | 2019-02-15 |
| 1851876676 | Vivian Josefina Tejedor Velilla | Speech-Language Pathologist | 133 Palm River Blvd, Naples, FL 34110-5707 | 2018-09-27 |
| 1952882672 | Kasey Silverman | Speech-Language Pathologist | 671 Goodlette Frank Rd Ste 140, Naples, FL 34102-5615 | 2018-08-22 |
| 1447743364 | Alyssa Chace Hayes | Speech-Language Pathologist | 5263 Golden Gate Pkwy Ste E, Naples, FL 34116-7601 | 2018-06-14 |
| Find all providers in NAPLES | ||||
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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.