Individual provider Active NPI

Taylor Johnson Diemer, CCC-SLP

  • Speech-Language Pathologist
  • Westminster, CO
National Provider Identifier
1366132177
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP012545 Issued in GA
Practice address
10170 Church Ranch Way Unit 125
Westminster, CO 80021-6073
Phone
(720) 706-3396
NPI assigned
May 15, 2023
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 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 SLP012545 GA Primary

Addresses

Primary practice location

10170 Church Ranch Way Unit 125
Westminster, CO 80021-6073

Mailing address

2558 Edlowe Rd
Woodland Park, CO 80863-8230

Other practice location 1

1515 Johnson Ferry Rd Ste 100
Marietta, GA 30062-6492
Phone (770) 977-9457

Other names 1

  • Katherine Taylor Johnson Former name

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

State licenses

LicenseStateTypeSpecialty
SLP012545GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Atlanta Speech & Language Clinics, Inc. Speech-Language Pathologist PastSince May 1, 2023 Accepting new patients
Greater Atlanta Speech & Language Clinics, Inc. Speech-Language Pathologist PastSince May 1, 2023 Accepting new patients
Soar Health, Inc. Speech-Language Pathologist PastSince Jun 30, 2024 Accepting new patients

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": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1366132177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2558 EDLOWE RD",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808638230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10170 CHURCH RANCH WAY UNIT 125",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800216073",
            "telephone_number": "720-706-3396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Johnson Ferry Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300626492",
            "country_code": "US",
            "telephone_number": "770-977-9457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEMER",
        "first_name": "TAYLOR",
        "middle_name": "JOHNSON",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "JOHNSON",
            "middle_name": "TAYLOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.