Individual provider Active NPI

Addie Rush Taylor

  • Speech-Language Pathologist
  • Raleigh, NC
National Provider Identifier
1336705417
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1330 Saint Marys St Ste 100
Raleigh, NC 27605-3334
Phone
(919) 577-6807
NPI assigned
May 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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 NC Primary

Addresses

Primary practice location

1330 Saint Marys St Ste 100
Raleigh, NC 27605-3334

Mailing address

2617 Laurelcherry St
Raleigh, NC 27612-5443
Phone (919) 830-7095

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

Practice roles

OrganizationSpecialtyStatusNew patients
Built to Speak PLLC Current Accepting new patients
Capitol City Speech Therapy, LLC Speech-Language Pathologist CurrentSince Mar 5, 2023 Accepting new patients

Locations

141 N Main St
Fuquay Varina, NC 27526
Phone (919) 577-6807

1330 Saint Marys St
Ste 100
Raleigh, NC 27605
Phone (919) 577-6807

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": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1336705417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 LAURELCHERRY ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125443",
            "telephone_number": "919-830-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SAINT MARYS ST STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276053334",
            "telephone_number": "919-577-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ADDIE",
        "middle_name": "RUSH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.