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Active NPI 1073469995 Individual Practitioner Female Practitioner

Shannon Moore

Speech-Language Pathologist • Middletown, NJ

Professional Overview & Biography Verified Profile Summary

Shannon Moore is a certified Speech-Language Pathologist practicing in Middletown, NJ. With approximately 8 years of clinical experience since completing medical education in 2018, Shannon Moore delivers high-quality medical care to the local community at 1805 EVANS LN.

Shannon Moore does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1805 Evans Ln

Middletown, NJ 077481883

Telephone 6096386723
Associated Practice Facility / Clinic
🏢 Expressable Speech Therapy Pc Facility NPI 1487360384

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Middletown, NJ

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -1.8 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
18 Specialists

Practicing in Middletown, NJ (4944 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (8 Years) 8 Yrs
Middletown Specialty Average (9.8 Years) 9.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-03-03
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NJ 41YS01003200

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 05, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2026

Registered at 1805 EVANS LN, MIDDLETOWN, NJ 077481883 (Tel: 6096386723)

📍
Updated Business Mailing Address March 05, 2026

Registered at 633 W 5TH ST OFC 2876B, LOS ANGELES, CA 900712005 (Tel: 5123776318)

👤
Provider Name / Credentials Updated March 05, 2026

Recorded as SHANNON MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2026

Speech-Language Pathologist (License #41YS01003200 in NJ)

🟢
Initial NPI Registration & Enumeration March 05, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073469995
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2026
Last Update: March 05, 2026
Sole Proprietor: No

Mailing Address

633 W 5th St Ofc 2876b

Los Angeles, CA 900712005

Phone: 5123776318

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.