Taylor Elizabeth Blair – Speech-Language Pathologist

Key facts

NPI: 1477070795
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
Practice address: 1318 W 6TH St
Kewanee, IL 61443-1261
Phone: (309) 852-5696
NPI assigned: Aug 28, 2017
Sex: Female
Sole proprietor: No

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.

Henry Stark Cty Spec Edu Dist Local Education Agency (LEA) · Kewanee, IL · NPI 1669675823

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
146013921	IL	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
Henry Stark Cty Spec Edu Dist		Past since Jul 24, 2022	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	146013921	IL
Speech-Language Pathologist	235Z00000X			Yes

Addresses

Primary practice location

1318 W 6TH St
Kewanee, IL 61443-1261

Mailing address

1318 W 6TH St
Kewanee, IL 61443-1261
Phone (309) 852-5696

Other identifiers

Identifier	Type	State	Issuer
1477070795	Medicaid	IL

Other providers in Kewanee, IL

All providers in Kewanee, IL · Speech-Language Pathologist in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.