Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760761001 Individual Practitioner Female Practitioner

Kristin Ann Moody , CCC-SLP

Speech-Language Pathologist • Waterloo, NY

Professional Overview & Biography Verified Profile Summary

Kristin Moody, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Waterloo, NY. Practice services are available at 1400 STATE ROUTE 96 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1400 State Route 96
Apartment D44

Waterloo, NY 131659564

Telephone 3157459660

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Waterloo, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Waterloo, NY (25106 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 NY 020214-1

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

1 Associated Practitioners
Michelle Herczeg

Student in an Organized Health Care Education/Training Program

NPI 1114253994

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 04, 2011

NPI status registered as active in NPPES database

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Updated Practice Location August 04, 2011

Registered at 1400 STATE ROUTE 96, APARTMENT D44, WATERLOO, NY 131659564 (Tel: 3157459660)

📍
Updated Business Mailing Address August 04, 2011

Registered at 1400 STATE ROUTE 96, APARTMENT D44, WATERLOO, NY 131659564 (Tel: 3157459660)

👤
Provider Name / Credentials Updated August 04, 2011

Recorded as KRISTIN MOODY, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2011

Speech-Language Pathologist (License #020214-1 in NY)

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Initial NPI Registration & Enumeration August 04, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1760761001
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2011
Last Update: August 04, 2011
Sole Proprietor: Yes

Mailing Address

1400 State Route 96, Apartment D44

Waterloo, NY 131659564

Phone: 3157459660

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.