Individual provider Active NPI

Taylor Rae Irey

  • Speech-Language Pathologist
  • Columbus, OH
National Provider Identifier
1053979849
Registry record updated Apr 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.15812 Issued in OH
Practice address
523 E Engler St
Columbus, OH 43215-5551
Phone
(614) 299-4554
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Speech-Language Pathologist 235Z00000X SP.15812 OH Primary

Addresses

Primary practice location

523 E Engler St
Columbus, OH 43215-5551

Mailing address

523 E Engler St
Columbus, OH 43215-5551
Phone (614) 299-4554

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

State licenses

LicenseStateTypeSpecialty
SP.15812OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Casa Speech, LLC Speech-Language Pathologist CurrentSince Apr 9, 2024 Accepting new patients

Locations

523 E Engler St
Columbus, OH 43215
Phone (614) 289-8805

Organizations & group practices 1

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": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712361600000",
    "number": "1053979849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 E ENGLER ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155551",
            "telephone_number": "614-299-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 E ENGLER ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155551",
            "telephone_number": "614-299-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IREY",
        "first_name": "TAYLOR",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2024-04-06",
        "certification_date": "2024-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.15812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.

Verify at the official NPI Registry.