SHANNON MOORE
NPI 1073469995
Speech-Language Pathologist in Middletown, NJ

Q: What is Shannon Moore's NPI number?

The NPI number for Shannon Moore is 1073469995. It was assigned to this individual provider in the NPPES registry on March 5, 2026.

Q: What is Shannon Moore's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Moore was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 05, 2026

1805 EVANS LN, MIDDLETOWN, NJ 07748(609) 638-6723 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Shannon Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON MOORE (NPI 1073469995) is an individual speech-language pathologist provider in Middletown, New Jersey, licensed in New Jersey (41YS01003200) and active in the NPI registry since March 2026. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1073469995

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSHANNON MOORE

Location Address1805 EVANS LNMiddletown, NJ 07748-1883

Mailing Address633 W 5th St Ofc 2876bLos Angeles, CA 90071-2005 · (512) 377-6318

Phone(609) 638-6723

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 5, 2026

NPPES CertifiedMarch 3, 2026

✔ NPI 1073469995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in NJ · 41YS01003200

Definition

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.

1805 EVANS LN, Middletown, NJ 07748

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375027121

PECOS Enrollment IDI20260319003712

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Moore's NPI number?

The NPI number for Shannon Moore is 1073469995. It was assigned to this individual provider in the NPPES registry on March 5, 2026.

Where is Shannon Moore located?

Shannon Moore practices at 1805 Evans Ln, Middletown, NJ 07748. The listed phone number is (609) 638-6723.

What is Shannon Moore's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Shannon Moore enrolled in Medicare?

Yes. Shannon Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Moore was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.