Blair Taylor

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3159 Issued in MS

Practice address

10 Medical Blvd
Hattiesburg, MS 39401-7230

Phone

(601) 264-0357

NPI assigned

Nov 17, 2009

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

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1376870022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 THAGARD DR",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394659604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017230",
            "telephone_number": "601-264-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BLAIR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "3159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Tassin, DO
• McKenley Grace Tate
• Kimberly Gardner Tatum, PT
• Virginia Angelico Tatum, D.D.S
• Greg P Tavai, MD
• Justin Michael Taylor, PMHNP-BC
• Lauren Taylor
• Shawn Austin Taylor, DNP, CRNA
• William Taylor, LPC
• Ted Harden OD PLLC

• Speech-Language Pathologist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.