ELISABETH ANNE MOODY (MS CCC-SLP) – Speech-Language Pathologist, NPI 1558389718

ELISABETH ANNE MOODY (MS CCC-SLP) is a healthcare provider. based in St. augustine, Florida. specializing in Speech-Language Pathologist. They hold the professional credentials MS CCC-SLP. They hold a License No. SA5418 (FL). The NPI Number for ELISABETH ANNE MOODY (MS CCC-SLP) is 1558389718

Main info

Female
Name
ELISABETH ANNE MOODY (MS CCC-SLP)
NPI
1558389718
Phone
(904) 230-7761
Address
111 NATURE WALK PKWY
Enumeration Date
17 July 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for ELISABETH ANNE MOODY (MS CCC-SLP)

  • 111 NATURE WALK PKWY

    SUITE 101

    ST. AUGUSTINE, FL 32092

    Phone: (904) 230-7761

    Fax: (904) 230-7763

    Type: Location

  • 6423, Dartmouth Road, Lakewood, Jacksonville, Duval County, Florida, 32217, United States

    JACKSONVILLE, FL 322172483

    Phone: (904) 230-7761

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32092)

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Frequently asked questions

Where can patients find ELISABETH ANNE MOODY (MS CCC-SLP)'s NPI?
You can confirm ELISABETH ANNE MOODY (MS CCC-SLP) with NPI 1558389718; it appears in the national provider directory.
Is ELISABETH ANNE MOODY (MS CCC-SLP) currently active in the NPI registry?
CMS-published data lists ELISABETH ANNE MOODY (MS CCC-SLP) as an active registrant.
Can you summarize ELISABETH ANNE MOODY (MS CCC-SLP)'s specialty in plain language?
Clinically, the directory lists ELISABETH ANNE MOODY (MS CCC-SLP) with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where does public data place ELISABETH ANNE MOODY (MS CCC-SLP)?
The snapshot lists St. Augustine, Florida for ELISABETH ANNE MOODY (MS CCC-SLP); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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