Individual provider Active NPI

Teranesha Taylor

  • Speech-Language Pathologist
  • Annandale, VA
National Provider Identifier
1316512130
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
6920B Bradlick Shopping Ctr # 163
Annandale, VA 22003-7203
Phone
(571) 347-8093
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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 Primary

Addresses

Primary practice location

6920B Bradlick Shopping Ctr # 163
Annandale, VA 22003-7203

Mailing address

6920B Bradlick Shopping Ctr # 163
Annandale, VA 22003-7203
Phone (571) 347-8093

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230328001649 DC Practitioner - Qualified Speech Language Pathologist 3577937929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6066 Leesburg Pike
Suite 310
Falls Church, VA 22041-2234
Phone (571) 281-8633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10202MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tact Therapy Speech-Language Pathologist CurrentSince Mar 13, 2023 Accepting new patients
Monument Therapy CurrentSince Dec 17, 2023 Accepting new patients

Locations

6920B Bradlick Shopping Ctr
Annandale, VA 22003
Phone (571) 347-8093

6066 Leesburg Pike
Ste 310
Falls Church, VA 22041
Phone (561) 523-2424

6066 Leesburg Pike
Ste 710
Falls Church, VA 22041
Phone (301) 429-2900

Organizations & group practices 2

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1316512130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920B BRADLICK SHOPPING CTR # 163",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037203",
            "telephone_number": "571-347-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920B BRADLICK SHOPPING CTR # 163",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037203",
            "telephone_number": "571-347-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TERANESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.