Individual provider Active NPI

Taylor Noelle Winners, M.S.ED, CCC-SLP

  • Speech-Language Pathologist
  • Fremont, NE
National Provider Identifier
1205465358
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2399 Issued in NE
Practice address
2320 N Colorado Ave
Fremont, NE 68025-2286
Phone
(402) 721-7710
NPI assigned
Apr 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14229935
Speech-Language Pathologist 235Z00000X 2399 NE Primary

Addresses

Primary practice location

2320 N Colorado Ave
Fremont, NE 68025-2286

Mailing address

1430 Monroe St
Fremont, NE 68025-3398
Phone (308) 870-1688

Other names 1

  • Taylor Noelle Johnson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL twinners@esu2.org Direct

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
2399NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Educational Service Unit No 2 of the State of Nebraska CurrentSince Jan 17, 2022 Accepting new patients

Locations

2320 N Colorado Ave
Fremont, NE 68025
Phone (402) 721-7170

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1205465358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 MONROE ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680253398",
            "telephone_number": "308-870-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 N COLORADO AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252286",
            "telephone_number": "402-721-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINNERS",
        "first_name": "TAYLOR",
        "middle_name": "NOELLE",
        "credential": "M.S.ED, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "14229935",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "2399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "twinners@esu2.org",
            "affiliation": "N",
            "endpointDescription": "EDU Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2320 N Colorado Ave",
            "city": "Fremont",
            "state": "NE",
            "country_code": "US",
            "postal_code": "680252286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "JOHNSON",
            "middle_name": "NOELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.