BREANNA MOORE M.S. SLP
NPI 1033567078
Speech-Language Pathologist in Roscoe, IL

Q: What is Breanna Moore's NPI number?

The NPI number for Breanna Moore is 1033567078. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Q: What is Breanna Moore's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Breanna Moore was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 01, 2016

5851 RURAL EDGE DR, ROSCOE, IL 61073(815) 669-9491 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Breanna Moore M.s. Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREANNA MOORE M.S. SLP (NPI 1033567078) is an individual speech-language pathologist provider in Roscoe, Illinois, licensed in Illinois (242.003762) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1033567078

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameBREANNA MOORECredential: M.S. SLP

Location Address5851 RURAL EDGE DRRoscoe, IL 61073-7994

Mailing Address5851 Rural Edge DrRoscoe, IL 61073-7994 · (815) 669-9491

Phone(815) 669-9491

Sole ProprietorYes

Enumeration DateJune 1, 2016

✔ NPI 1033567078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in IL · 242.003762

Definition

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.

5851 RURAL EDGE DR, Roscoe, IL 61073

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breanna Moore's NPI number?

The NPI number for Breanna Moore is 1033567078. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Where is Breanna Moore located?

Breanna Moore practices at 5851 Rural Edge Dr, Roscoe, IL 61073. The listed phone number is (815) 669-9491.

What is Breanna Moore's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Breanna Moore was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.