Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780947838 Individual Practitioner Female Practitioner

Alyssa G. Moomaw , MS, CCC-SLP, L

Speech-Language Pathologist • Decatur, IL

Professional Overview & Biography Verified Profile Summary

Alyssa Moomaw, MS, CCC-SLP, L is a registered healthcare professional specializing in Speech-Language Pathologist in Decatur, IL. Practice services are available at 1800 E LAKE SHORE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1800 E Lake Shore Dr

Decatur, IL 625213810

Telephone 2174642966
Fax 2174641633
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Decatur, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
54 Specialists

Practicing in Decatur, IL (10321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 146009778

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

38 Associated Practitioners
Mary Katherine Kenney , PA

Physician Assistant - Medical

NPI 1003299082

Physician Assistant

Kristina Bradford , APN

Nurse Practitioner - Family

NPI 1023441904

Advanced Practice Nurse

Jacob Nuss

Physician Assistant - Medical

NPI 1053254946
Kristen Grohne , SLP

Speech-Language Pathologist

NPI 1053510040

Speech-Language Pathologist

Dr. Jonathan Vasquez , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1093910507

Doctor of Medicine (M.D.)

NPI 1114943057

Doctor of Medicine (M.D.), FAAFP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 22, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2012

Registered at 1800 E LAKE SHORE DR, DECATUR, IL 625213810 (Tel: 2174642966)

📍
Updated Business Mailing Address June 22, 2012

Registered at 1800 E LAKE SHORE DR, DECATUR, IL 625213810 (Tel: 2174642966)

👤
Provider Name / Credentials Updated June 22, 2012

Recorded as ALYSSA MOOMAW, MS, CCC-SLP/L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2012

Speech-Language Pathologist (License #146009778 in IL)

🟢
Initial NPI Registration & Enumeration June 22, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780947838
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2012
Last Update: June 22, 2012
Sole Proprietor: No

Mailing Address

1800 E Lake Shore Dr

Decatur, IL 625213810

Phone: 2174642966

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.