Active NPI
Kaitlin Sandra Moore
- Speech-Language Pathologist
- Federal Way, WA
National Provider Identifier
1497525620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLPI.SI.70156429
- Practice address
- 33330 8TH Ave S
Federal Way, WA 98003-6325 - Phone
- (253) 945-2000
- NPI assigned
- Jan 8, 2024
- Last updated
- Sep 1, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLPI.SI.70156429 | WA | Primary |
Addresses
Primary practice location
33330 8TH Ave S
Federal Way, WA 98003-6325
Mailing address
PO Box 12072
Seattle, WA 98102-0072
Phone (530) 723-8098
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 |
|---|---|---|---|
| SLPI.SI.70156429 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prentgraf LTD | Speech-Language Pathologist | Current | Accepting new patients |
Locations
700 Alexander Park
Ste 101
Princeton, NJ 08540
Phone (609) 275-1300
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1497525620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12072",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981020072",
"telephone_number": "530-723-8098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33330 8TH AVE S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036325",
"telephone_number": "253-945-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "KAITLIN",
"middle_name": "SANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-08",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "SLPI.SI.70156429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.