ANDREA JENAE MOSS
NPI 1720489107
Speech-Language Pathologist in Salt Lake City, UT

Q: What is Andrea Moss's NPI number?

The NPI number for Andrea Moss is 1720489107. It was assigned to this individual provider in the NPPES registry on September 4, 2014.

Q: What is Andrea Moss'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 Andrea Moss was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 September 04, 2014Accepts Medicare Assignment

433 E 2700 S, SALT LAKE CITY, UT 84115(313) 671-4985 Get Directions Write a Review

NPPES record last updated: February 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Andrea Jenae Moss NPPES

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

ANDREA JENAE MOSS (NPI 1720489107) is an individual speech-language pathologist provider in Salt Lake City, Utah, licensed in Utah (9066300-4104) and active in the NPI registry since September 2014. She is a graduate of Other (2014).

NPPES Registry Identity

NPI1720489107

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameANDREA JENAE MOSS

Location Address433 E 2700 SSalt Lake City, UT 84115-3325

Mailing Address7748 S Rope Key Dr Apt H208Midvale, UT 84047-7567 · (313) 671-4985

Phone(313) 671-4985

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 4, 2014

Last NPPES UpdateFebruary 8, 2017

✔ NPI 1720489107 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 UT · 9066300-4104

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.

433 E 2700 S, Salt Lake City, UT 84115

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Jenae Moss is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496975542

PECOS Enrollment IDI20250513001877

Other Providers at the Same Location NPPES 5

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

BEAVER VALLEY HOSPITAL

Skilled Nursing Facility

433 E 2700 S
SALT LAKE CITY, UT 84115

Salt Lake County (801) 487-2248

EAGLES SOAR INC.

Skilled Nursing Facility

433 E 2700 S
SALT LAKE CITY, UT 84115

Salt Lake County (801) 487-2248

OLIVIA NICOLE WOZAB

Recreational Therapist Assistant

433 E 2700 S
SOUTH SALT LAKE, UT 84115

Salt Lake County (801) 487-2248

JOHANNA CARE CENTER, INC.

Skilled Nursing Facility

433 E 2700 S
S SALT LAKE, UT 84115

Salt Lake County (801) 487-2248

ALETHEA GOLDRUP TRT

Recreational Therapist Assistant

433 E 2700 S
SOUTH SALT LAKE, UT 84115

Salt Lake County (801) 558-5134

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 Andrea Moss's NPI number?

The NPI number for Andrea Moss is 1720489107. It was assigned to this individual provider in the NPPES registry on September 4, 2014.

Where is Andrea Moss located?

Andrea Moss practices at 433 E 2700 S, Salt Lake City, UT 84115. The listed phone number is (313) 671-4985.

What is Andrea Moss's specialty?

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

Is Andrea Moss enrolled in Medicare?

Yes. Andrea Moss is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Andrea Moss was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.