Individual provider Active NPI

Taylor Koesters

  • Speech-Language Pathologist
  • Bucyrus, OH
National Provider Identifier
1295348316
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.14447 Issued in OH
Practice address
148 Kincora Dr
Bucyrus, OH 44820-8643
Phone
(567) 644-3155
NPI assigned
Aug 28, 2020
Last updated
Apr 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.14447 OH Primary

Addresses

Primary practice location

148 Kincora Dr
Bucyrus, OH 44820-8643

Mailing address

148 Kincora Dr
Bucyrus, OH 44820-8643
Phone (567) 644-3155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260512001252 OH Practitioner - Qualified Speech Language Pathologist 6709355407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Senior Living LLCGroup PAC ID 0446754451, 117 clinicians

Practice addresses (Care Compare)

1550 Wellness Dr
Marion, OH 43302-6585
Phone (740) 913-3589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP.14447OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oakstone Health Center CurrentSince Aug 30, 2020 Accepting new patients
Children's Center for Developmental Enrichment Speech-Language Pathologist PastSince Aug 30, 2020 Accepting new patients

Locations

900 Club Dr
Westerville, OH 43081
Phone (614) 899-2838

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10687/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1295348316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 KINCORA DR",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448208643",
            "telephone_number": "567-644-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 KINCORA DR",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448208643",
            "telephone_number": "567-644-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOESTERS",
        "first_name": "TAYLOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.14447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.