Active NPI
La Tonya Renee Taylor, M.S., CCC-SLP
- Speech-Language Pathologist
- Kinston, NC
National Provider Identifier
1063945988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11006
- Practice address
- 3906 Random Rd
Kinston, NC 28504-8468 - Phone
- (252) 361-9105
- NPI assigned
- Apr 7, 2017
- Last updated
- Apr 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11006 | NC | Primary |
Addresses
Primary practice location
3906 Random Rd
Kinston, NC 28504-8468
Mailing address
3906 Random Rd
Kinston, NC 28504-8468
Phone (252) 361-9105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200701000760 | NC | Practitioner - Qualified Speech Language Pathologist | 7113340670 | Practice locations: Kinston, NC |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491523200000",
"number": "1063945988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3906 RANDOM RD",
"city": "KINSTON",
"state": "NC",
"postal_code": "285048468",
"telephone_number": "252-361-9105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3906 RANDOM RD",
"city": "KINSTON",
"state": "NC",
"postal_code": "285048468",
"telephone_number": "252-361-9105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "LA TONYA",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-07",
"last_updated": "2017-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "11006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kinston, NC
- Sylvia Chiropractic Center
- James Craig Sylvia, DC
- Tar Heel Health Care Services, LLC (CenterWell Home Health)
- Taylor 5 Home Care Services LLC
- George Lee Taylor Jr.
- Melinda Lee Taylor, DNP, BSN, AGNP-C
- Valeria Jones Taylor
- Brittany Teach-Lizzmore
- Katharine Elise Ten Pas, R.D.
- The Therapy Company, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.