Active NPIIndividual provider

Shannon Moore

Speech-Language Pathologist, in Middletown, New Jersey

NPI Number1073469995
Practice location
1805 Evans Ln, Middletown, NJ 07748-1883
Fax
—
Last updated
March 5, 2026

Shannon Moore is a Speech-Language Pathologist, based in Middletown, NJ. Shannon Moore practices in Middletown, NJ. The NPI Number for Shannon Moore is 1073469995 and holds a License No. 41YS01003200 (NJ). The current practice location address for Shannon Moore is 1805 Evans Ln, Middletown, NJ 07748-1883 and can be reached out via phone at 609-638-6723.

Provider Profile Details

NPI Number
1073469995
Provider Name
Shannon Moore
Provider Entity Type
Individual
Gender
Female
Address
1805 Evans Ln, Middletown, NJ 07748-1883
Phone Number
609-638-6723
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
March 5, 2026
Last Update Date
March 5, 2026
Certification Date
March 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1805 Evans Ln
Middletown, NJ 07748-1883
Zip
07748-1883
Phone Number
609-638-6723
Middletown, NJ 07748Get directions →

Provider Business Mailing Address Details

Address
633 W 5TH St Ofc 2876B
Los Angeles, CA 90071-2005
City
Los Angeles
State
CA
Zip
90071-2005
Phone Number
512-377-6318

License Information

License Number
41YS01003200
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shannon Moore?

The NPI number of Shannon Moore is 1073469995. It was assigned on March 5, 2026 and is currently active in the NPPES registry.

What is the specialty of Shannon Moore?

Shannon Moore is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS01003200.

Where does Shannon Moore practice?

The practice location is 1805 Evans Ln, Middletown, NJ 07748-1883. The office can be reached at 609-638-6723 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073469995 directly on the NPPES registry website.

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