Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kennon Deon Moses

Speech-Language Pathologist β€’ Tallahassee, FL

Active NPI 1164064143 Individual Practitioner Male Practitioner
Practice location in NPPES

3139 Eliza Rd
Tallahassee, FL 323086254

Call 8507277928 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

3139 Eliza Rd

Tallahassee, FL 323086254

Telephone 8507277928
Organization at the Same NPPES Address or Phone
Southeastern Therapy Services, Llc Facility NPI 1467685842

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

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 Tallahassee and Florida

196 active clinicians are listed under Speech-Language Pathologist with a practice address in Tallahassee, FL (11,513 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tallahassee

0.5% of these 196 clinicians have the CMS telehealth indicator.

3.6% of these 196 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 FL SZ12741

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: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

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

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

Registered at 3139 ELIZA RD, TALLAHASSEE, FL 323086254 (Tel: 8507277928)

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

Recorded as KENNON MOSES

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

Speech-Language Pathologist (license number reported to NPPES: FL SZ12741)

βœ…
NPI Profile Active October 11, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 11, 2019

Registered at 503 E EVANS AVE, BONIFAY, FL 324252339 (Tel: 8507682169)

πŸ“
Business Mailing Address (Initial Record) October 11, 2019

Registered at 503 E EVANS AVE, BONIFAY, FL 324252339 (Tel: 8507682169)

πŸ‘€
Provider Name / Credentials (Initial Record) October 11, 2019

Recorded as KENDRA MOSES

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2019

Behavior Technician (license number reported to NPPES: FL RBT-1996815)

🟒
Initial NPI Registration & Enumeration October 11, 2019

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1164064143
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2019
Last Update: August 25, 2025
Sole Proprietor: No

Mailing Address

503 E Evans Ave

Bonifay, FL 324252339

Phone: 8507682169

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.