Jill Gunnells Taylor, MCD, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3590 Issued in SC

Practice address

404 Jay St
Bamberg, SC 29003-2429

Phone

(803) 245-3742

NPI assigned

Apr 1, 2008

Last updated

Apr 1, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1225200975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 JAY ST",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290032429",
            "telephone_number": "803-245-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 JAY ST",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290032429",
            "telephone_number": "803-245-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JILL",
        "middle_name": "GUNNELLS",
        "name_prefix": "Mrs.",
        "credential": "MCD, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA 0664",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Harrison Shuler, APRN
• Connie Smith
• South Carolina Heart Center PA
• State of South Carolina (SC Dhec)
• Shannon T Stokes, FNP
• Kim C Terry, PA
• The Regional Medical Center of Orangeburg and Calhoun Counties (Urgent Care - Bamberg, a Department of the Regional Medical Center)
• The Veil Adult Day Center LLC (The Veil Adult Day Center)
• The Veil Express Ride LLC (The Veil Express Ride)
• Meredith Squires Tuck, RN

• Speech-Language Pathologist in Bamberg, SC
• Providers in Bamberg, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.