Individual provider Active NPI

Caroline Elizabeth Moore, M.ED., M.A. CCC/SLP

  • Speech-Language Pathologist
  • Newport, TN
National Provider Identifier
1669656328
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8570 Issued in TN
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

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
SA13018FLMDSpeech-Language Pathologist
280800KYMDSpeech-Language Pathologist
SP-6113OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Speech PLLC Speech-Language Pathologist CurrentSince Dec 3, 2023 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.

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.

Verify at the official NPI Registry.