KATHLEEN D MOORE MA, CCC-SLP
NPI 1477037257
Speech-Language Pathologist in Andover, MN

Active since September 18, 2018
16817 ZION ST NW, ANDOVER, MN 55304(651) 955-3327 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 13, 2024, Apr 26, 2024, Sep 18, 2018 (3 updates tracked since 2018).

About Kathleen D Moore Ma, Ccc-slp NPPES

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

KATHLEEN D MOORE MA, CCC-SLP (NPI 1477037257) is an individual speech-language pathologist provider in Andover, Minnesota, licensed in Minnesota (10182) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1477037257
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKATHLEEN D MOORECredential: MA, CCC-SLP
Location Address16817 ZION ST NWAndover, MN 55304-2091
Mailing Address16817 Zion St NwAndover, MN 55304-2091 · (651) 955-3327
Sole ProprietorYes
Enumeration DateSeptember 18, 2018
Last NPPES UpdateMay 13, 20243 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
NPI 1477037257 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 MN · 10182
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.
16817 ZION ST NW, Andover, MN 55304

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
16817 ZION ST NW
ANDOVER, MN 55304

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 Kathleen Moore's NPI number?

The NPI number for Kathleen Moore is 1477037257. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Kathleen Moore located?

Kathleen Moore practices at 16817 Zion St NW, Andover, MN 55304. The listed phone number is (651) 955-3327.

What is Kathleen Moore's specialty?

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

What insurance does Kathleen Moore accept?

Health plans from Medica list Kathleen Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Moore was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.