Active NPI
Cali Lin Moore
- Speech-Language Pathologist
- Frankfort, KY
National Provider Identifier
1730694563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4076
- Practice address
- 1040 US Highway 127 S
Frankfort, KY 40601-4326 - Phone
- (502) 875-5600
- NPI assigned
- Dec 1, 2017
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 140805 | KY | |
| Speech-Language Pathologist | 235Z00000X | 4076 | KY | Primary |
Addresses
Primary practice location
1040 US Highway 127 S
Frankfort, KY 40601-4326
Mailing address
233 Signal Ridge Rd
Frankfort, KY 40601-2603
Phone (502) 545-2791
Other names 1
- Cali Lin Sills
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | FOX REHABILITATION SERVICES KY LLC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 140805 | KY | MD | Speech-Language Pathologist |
| 4076 | KY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1730694563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 SIGNAL RIDGE RD",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406012603",
"telephone_number": "502-545-2791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 US HIGHWAY 127 S",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406014326",
"telephone_number": "502-875-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CALI",
"middle_name": "LIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-01",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "140805",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "4076",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "FOX REHABILITATION SERVICES KY LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "9251 Stonestreet Rd",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402722858",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CALI",
"last_name": "SILLS",
"middle_name": "LIN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Frankfort, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.