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Lisa Kay Moore , MSE CCC SLP

Speech-Language Pathologist β€’ Jacksonville, AR

Active NPI 1154569515 Individual Practitioner Female Practitioner
Practice location in NPPES

1301 W Main St
Jacksonville, AR 720764326

Call 5019822128 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1301 W Main St

Jacksonville, AR 720764326

Telephone 5019822128

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jacksonville and Arkansas

38 active clinicians are listed under Speech-Language Pathologist with a practice address in Jacksonville, AR (3,677 in Arkansas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

0% of these 38 clinicians have the CMS telehealth indicator.

2.6% of these 38 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-25
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES AR 611

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Specialist/Technologist

NUCC Taxonomy Code: 235500000X

License # reported to NPPES AR 611

General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES AR SP611

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arkansas State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
139362721 (AR)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 25, 2025

Registered at 1301 W MAIN ST, JACKSONVILLE, AR 720764326 (Tel: 5019822128)

πŸ“
Updated Business Mailing Address August 25, 2025

Registered at 1301 W MAIN ST, JACKSONVILLE, AR 720764326 (Tel: 5019822128)

πŸ‘€
Provider Name / Credentials Updated August 25, 2025

Recorded as LISA MOORE, MSE CCC SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2025

Specialist/Technologist (license number reported to NPPES: AR 611)

βœ…
NPI Profile Active September 14, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 14, 2010

Registered at 124 SCHOOL RD., ROSE BUD, AR 72137 (Tel: 5015565152)

πŸ“
Business Mailing Address (Initial Record) September 14, 2010

Registered at 124 SCHOOL RD., ROSE BUD, AR 72137 (Tel: 5015565152)

πŸ‘€
Provider Name / Credentials (Initial Record) September 14, 2010

Recorded as LISA RUPLE, MSE CCC SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2010

Speech-Language Pathologist (license number reported to NPPES: AR 611)

🟒
Initial NPI Registration & Enumeration January 22, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1154569515
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2009
Last Update: August 25, 2025
Sole Proprietor: No

Mailing Address

1301 W Main St

Jacksonville, AR 720764326

Phone: 5019822128

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.