Active NPI
Addie Rush Taylor
- Speech-Language Pathologist
- Raleigh, NC
National Provider Identifier
1336705417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Built to Speak PLLC | Current | Accepting new patients | |
| Capitol City Speech Therapy, LLC | Speech-Language Pathologist | Current | 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.
-
- Hearing and Speech Clinic/Center
- Charlotte, NC
- NPI 1215829239
-
- Speech-Language Pathologist
- Fuquay Varina, NC
- NPI 1689755241
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.