Shannon Moore
NPI 1073469995ActiveIndividual· Speech-Language Pathologist· Middletown, NJ
Speech-Language Pathologist in Middletown, New Jersey, licensed in NJ, with an NPI issued in March 2026. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1073469995 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 5, 2026 |
| Last updated in NPPES | Mar 5, 2026 |
| Certified by provider | Mar 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 41YS01003200 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (NJ) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Other speech-language pathologists in Middletown
- 1174905947
- 1295449445
- 1336986777
- 1467332882
- 1790311512
- 1811655418
- 1851737597
- 1871271114
- 1255110953
- 1871864280
- 1407536188
- 1851913750
All 22 speech-language pathologists in Middletown · All speech-language pathologists in New Jersey