Active NPI
Taylor Rae Eaton, MCD, CF-SLP
- Speech-Language Pathologist
- West Memphis, AR
National Provider Identifier
1467977280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 200946
- Practice address
- 610 N Missouri St
West Memphis, AR 72301-3148 - Phone
- (870) 400-0179
- NPI assigned
- Aug 14, 2017
- 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 | 200946 | AR | Primary |
Addresses
Primary practice location
610 N Missouri St
West Memphis, AR 72301-3148
Mailing address
610 N Missouri St
West Memphis, AR 72301-3148
Phone (870) 400-0179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200946 | Other | AR | ABESPA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200946 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1467977280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 N MISSOURI ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723013148",
"telephone_number": "870-400-0179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 N MISSOURI ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723013148",
"telephone_number": "870-400-0179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "TAYLOR",
"middle_name": "RAE",
"name_prefix": "Miss",
"credential": "MCD, CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-14",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "200946",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABESPA",
"identifier": "200946",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Memphis, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.