Amanda Taylor

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP-2914 Issued in ID

Practice address

1071 Renee Ave
Pocatello, ID 83201-2508

Phone

(208) 233-1411

NPI assigned

Dec 31, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483142400000",
    "number": "1063957967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 RENEE AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012508",
            "telephone_number": "208-233-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 RENEE AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012508",
            "telephone_number": "208-233-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-31",
        "last_updated": "2016-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "TSLP-2914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Armando Tapia
• Ginger Tarver, PHARMD
• Mandy Tate
• Evan Tayler, DO
• Abigail Taylor
• Justin Bryan Taylor
• Kenneth James Taylor, LCSW
• Patricia Taylor, MS, CCC-SLP/A
• William Lorin Taylor III, PA-C
• Angela Marie Teige, DO

• Speech-Language Pathologist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2016; 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.