Individual provider Active NPI

Taylor Erin McKeon, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Lancaster, PA
National Provider Identifier
1366929663
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL014567 Issued in PA
Practice address
675 Willow Valley SQ
Lancaster, PA 17602-4876
Phone
(717) 464-6397
NPI assigned
Jul 19, 2018
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X PSL000347 PA
Speech-Language Pathologist 235Z00000X SL014567 PA Primary

Addresses

Primary practice location

675 Willow Valley SQ
Lancaster, PA 17602-4876

Mailing address

27 Coastal Ave
Ephrata, PA 17522-8300

Other practice location 1

1011 Berk Rd
Leesport, PA 19533-8705
Phone (610) 376-4841 ext. 7619

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

LicenseStateTypeSpecialty
PSL000347PAMDSpeech-Language Pathologist
SL014567PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Valley Communities Past 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, 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": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1366929663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 COASTAL AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175228300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 WILLOW VALLEY SQ",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176024876",
            "telephone_number": "717-464-6397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Berk Rd",
            "address_purpose": "LOCATION",
            "city": "Leesport",
            "state": "PA",
            "postal_code": "195338705",
            "country_code": "US",
            "telephone_number": "610-376-4841 x7619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEON",
        "first_name": "TAYLOR",
        "middle_name": "ERIN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "PSL000347",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL014567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.