Casey Erin Moore, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#P8493 Issued in AR

Practice address

708 E Dixon Rd
RM. 27
Little Rock, AR 72206-4114

Phone

(501) 490-2000

NPI assigned

Dec 13, 2012

Last updated

Oct 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1245576578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CHARTER CT",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205048",
            "telephone_number": "501-834-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 E DIXON RD",
            "address_2": "RM. 27",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722064114",
            "telephone_number": "501-490-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CASEY",
        "middle_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#P8493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194133721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey Elaine Moore
• Beauticia Moore
• Blakely M Moore, APRN
• Brendan Moore, MD
• Burton Allan Moore, MD
• Chakisse Moore
• Corvella Moore, MHPP
• Daylan Moore, LPC
• Deja Moore
• Ebony M Moore

• Speech-Language Pathologist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.