Karissa Madison Taylor

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

26722 Issued in CA

Practice address

900 Salem Dr
Redlands, CA 92373-6147

Phone

(918) 798-9743

NPI assigned

Apr 25, 2019

Last updated

Apr 25, 2019By the provider in NPPES

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": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1073177937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25559 MANDARIN CT",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SALEM DR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736147",
            "telephone_number": "918-798-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KARISSA",
        "middle_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "26722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobby Lee Taunton III, CADC-II, ICADC
• Poonam Tavkar-Conley, PH.D.
• Alisa Leanne Taylor
• Clifford D. Taylor, PH.D.
• Constance Marie Taylor, PH.D.
• Lanier Parnell Taylor, D.D.S.
• Tanya L Taylor
• Timothy Michael Taylor, NP
• Lena Te, PHARM.D.
• Rebecca Becky Tekeian

• Speech-Language Pathologist in Redlands, CA
• Providers in Redlands, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.