Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Moira Louise Ellis

Individual provider Speech-Language Pathologist · NPI 1689060279

Moira Louise Ellis is a Qualified Speech Language Pathologist in Albuquerque, New Mexico. Qualified in 2014, 12 years ago. Practices with Unm Medical Group Inc, a 1,060-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
12
Licensed in
NM
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

6400 Uptown Blvd NE Ste 360 West
Albuquerque, NM 87110-4204
Phone: (505) 855-9805
Fax: (505) 848-9468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP5922 (NM)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence C-5721 (NM)

Record details

NPI number1689060279
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 9, 2015
Last updated in NPPESFebruary 14, 2025
Certification dateFebruary 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Unm Medical Group Inc — 1060 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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