Active NPI
Sophie Moore, SLP
- Speech-Language Pathologist
- Plano, TX
National Provider Identifier
1396490744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 122645
- Practice address
- 2800 18TH St
Plano, TX 75074-4603 - Phone
- (469) 752-2400
- NPI assigned
- Feb 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-191939 | TX | |
| Speech-Language Pathologist | 235Z00000X | 122645 | TX | Primary |
Addresses
Primary practice location
2800 18TH St
Plano, TX 75074-4603
Mailing address
1105 W Russell St
Sioux Falls, SD 57104-1322
Phone (605) 271-2690
Other practice location 1
4530 Beltway Dr
Addison, TX 75001-3707
Phone (214) 636-0871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-191939 | TX | MD | Behavior Technician |
| 122645 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidspeak, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Addison, TX
- NPI 1619814274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1396490744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 W RUSSELL ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571041322",
"telephone_number": "605-271-2690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 18TH ST",
"city": "PLANO",
"state": "TX",
"postal_code": "750744603",
"telephone_number": "469-752-2400"
}
],
"practiceLocations": [
{
"address_1": "4530 Beltway Dr",
"address_purpose": "LOCATION",
"city": "Addison",
"state": "TX",
"postal_code": "750013707",
"country_code": "US",
"telephone_number": "214-636-0871",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "SOPHIE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-15",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "RBT-21-191939",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "122645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.