Active NPI
Caroline Elizabeth Moore, M.ED., M.A. CCC/SLP
- Speech-Language Pathologist
- Newport, TN
National Provider Identifier
1669656328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8570
- Practice address
- 642 Cosby Hwy
Newport, TN 37821-3418 - Phone
- (423) 608-2885
- Fax
- (865) 761-4045
- NPI assigned
- Dec 18, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA13018 | FL | |
| Speech-Language Pathologist | 235Z00000X | SP-6113 | OH | |
| Speech-Language Pathologist | 235Z00000X | 280800 | KY | |
| Speech-Language Pathologist | 235Z00000X | 8570 | TN | Primary |
Addresses
Primary practice location
642 Cosby Hwy
Newport, TN 37821-3418
Mailing address
1005 Rail Way
Cosby, TN 37722-3414
Phone (423) 608-2885
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
- Credentials
- Master of Arts, Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA13018 | FL | MD | Speech-Language Pathologist |
| 280800 | KY | MD | Speech-Language Pathologist |
| SP-6113 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moore Speech PLLC | Speech-Language Pathologist | Current | Accepting new patients |
| ENT Allergy & Sinus Center, Inc. | Past | Accepting new patients | |
| Jefferson County Board of Education | Past | Accepting new patients | |
| David M Hartman MD LTD | Past | Accepting new patients |
Locations
642 Cosby Hwy
Newport, TN 37821
Phone (423) 608-2885
Organizations & group practices 4
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
- Newport, TN
- NPI 1134995335
-
- Local Education Agency (LEA)
- Dandridge, TN
- NPI 1164805644
-
- Otolaryngology Physician
- Dover, OH
- NPI 1437332087
-
- Otolaryngology Physician
- Dover, OH
- NPI 1821299090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1669656328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 RAIL WAY",
"city": "COSBY",
"state": "TN",
"postal_code": "377223414",
"telephone_number": "423-608-2885",
"fax_number": "865-761-4045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "642 COSBY HWY",
"city": "NEWPORT",
"state": "TN",
"postal_code": "378213418",
"telephone_number": "423-608-2885",
"fax_number": "865-761-4045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CAROLINE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "M.ED., M.A. CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-18",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA13018",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP-6113",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "280800",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "8570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.