Taylor Marie Glenn

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

129766634102 Issued in UT

Practice address

867 S 800 W
Pleasant Grove, UT 84062-4505

Phone

(801) 785-9091

NPI assigned

Jan 25, 2023

Last updated

Jan 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Spectrum Academy

  • Local Education Agency (LEA)
  • Pleasant Grove, UT
  • NPI 1841682978
  NPD (past)

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1366158115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 S 800 W",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840624505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 S 800 W",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840624505",
            "telephone_number": "801-785-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "129766634102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanel Gates, PMHNP-BC
• Matthew Gaunt
• Elaina C Gillespie
• Rachelle Gleason, LCMHC
• Alison Ahern Glenn, ACHMA
• GN Giles Group LLC (Giles & Associates Family Psychology)
• Goal Pediatric Orthotics LLC
• Ashley Brianne Gonzalez, CNM
• Kasi Michelle Good, LCSW
• Airen Goodman

• Speech-Language Pathologist in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.