Active NPI
Taylor Viggers, MS, CCC-SLP
- Speech-Language Pathologist
- Mastic Beach, NY
National Provider Identifier
1366832321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- Tangier Smith Elementary School
336 Blanco Drive
Mastic Beach, NY 11951 - Phone
- (631) 874-1342
- NPI assigned
- Jan 29, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SLPA9194 | AZ | |
| Speech-Language Pathologist | 235Z00000X | NY | Primary |
Addresses
Primary practice location
Tangier Smith Elementary School
336 Blanco Drive
Mastic Beach, NY 11951
Mailing address
Tangier Smith Elementary School
336 Blanco Drive
Mastic Beach, NY 11951
Phone (631) 874-1342
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLPA9194 | AZ | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylor Nizich Speech Therapy PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Holly Springs, NC
- NPI 1669361143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1366832321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TANGIER SMITH ELEMENTARY SCHOOL",
"address_2": "336 BLANCO DRIVE",
"city": "MASTIC BEACH",
"state": "NY",
"postal_code": "11951",
"telephone_number": "631-874-1342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TANGIER SMITH ELEMENTARY SCHOOL",
"address_2": "336 BLANCO DRIVE",
"city": "MASTIC BEACH",
"state": "NY",
"postal_code": "11951",
"telephone_number": "631-874-1342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGGERS",
"first_name": "TAYLOR",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-29",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA9194",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mastic Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.