Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477037257 Individual Practitioner Female Practitioner

Kathleen D Moore , MA, CCC-SLP

Speech-Language Pathologist • Andover, MN

Professional Overview & Biography Verified Profile Summary

Kathleen Moore, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Andover, MN. Practice services are available at 16817 ZION ST NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16817 Zion St Nw

Andover, MN 553042091

Telephone 6519553327
Associated Practice Facility / Clinic
🏢 Moore Therapies, Pllc Facility NPI 1225884661

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Andover, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
72 Specialists

Practicing in Andover, MN (3097 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

CMS Verified: 2024-05-13
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 10182

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.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 26, 2024

Registered at 16817 ZION ST NW, ANDOVER, MN 553042091 (Tel: 6519553327)

📍
Updated Business Mailing Address April 26, 2024

Registered at 16817 ZION ST NW, ANDOVER, MN 553042091 (Tel: 6519553327)

👤
Provider Name / Credentials Updated April 26, 2024

Recorded as KATHLEEN MOORE, MA, CCC-SLP

NPI Profile Active September 18, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2018

Registered at 3305 CENTRAL PARK VILLAGE DR, EAGAN, MN 551217707 (Tel: 6514068868)

📍
Updated Business Mailing Address September 18, 2018

Registered at 3305 CENTRAL PARK VILLAGE DR, EAGAN, MN 551217707

👤
Provider Name / Credentials Updated September 18, 2018

Recorded as KATHLEEN MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2018

Speech-Language Pathologist (License #10182 in MN)

🟢
Initial NPI Registration & Enumeration September 18, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kathleen Moore. Be the first to share your experience!

Sign in to leave a review for Kathleen Moore

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1477037257
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 18, 2018
Last Update: May 13, 2024
Sole Proprietor: Yes

Mailing Address

16817 Zion St Nw

Andover, MN 553042091

Phone: 6519553327

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.