Active NPI
Taylor Payne, SLP
- Speech-Language Pathologist
- Naperville, IL
National Provider Identifier
1376163980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1001648
- Practice address
- 1400 Brookdale Rd
Naperville, IL 60563-2126 - Phone
- (630) 416-6565
- NPI assigned
- Apr 23, 2020
- 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 | 1001648 | IL | Primary |
Addresses
Primary practice location
1400 Brookdale Rd
Naperville, IL 60563-2126
Mailing address
2107 Primrose LN
Naperville, IL 60565-2870
Phone (630) 770-6257
Other practice location 1
520 E Fabyan Pkwy
Batavia, IL 60510-1323
Phone (630) 879-5266
Other practice location 2
310 Banbury Rd
North Aurora, IL 60542-1260
Phone (630) 892-7627
Other names 1
- Taylor Gutierrez
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001648 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1376163980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 PRIMROSE LN",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605652870",
"telephone_number": "630-770-6257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 BROOKDALE RD",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605632126",
"telephone_number": "630-416-6565"
}
],
"practiceLocations": [
{
"address_1": "520 E Fabyan Pkwy",
"address_purpose": "LOCATION",
"city": "Batavia",
"state": "IL",
"postal_code": "605101323",
"country_code": "US",
"telephone_number": "630-879-5266",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "310 Banbury Rd",
"address_purpose": "LOCATION",
"city": "North Aurora",
"state": "IL",
"postal_code": "605421260",
"country_code": "US",
"telephone_number": "630-892-7627",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAYNE",
"first_name": "TAYLOR",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-23",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "1001648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAYLOR",
"last_name": "GUTIERREZ",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.