Individual provider Active NPI

Risa Caren Taylor, SLP

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1487806592
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
C 4422 Issued in NM
Practice address
3100 San Isidro St NW
Cochiti Es
Albuquerque, NM 87107-1038
Phone
(505) 345-1432
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X C 4422 NM Primary

Addresses

Primary practice location

3100 San Isidro St NW
Cochiti Es
Albuquerque, NM 87107-1038

Mailing address

3100 San Isidro St NW
Cochiti Es
Albuquerque, NM 87107-1038
Phone (505) 345-1432

Other identifiers 1

IdentifierTypeStateIssuer
NONE ASSIGNEDMedicaidNM

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

LicenseStateTypeSpecialty
C 4422NMMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1487806592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SAN ISIDRO ST NW",
            "address_2": "COCHITI ES",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071038",
            "telephone_number": "505-345-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SAN ISIDRO ST NW",
            "address_2": "COCHITI ES",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071038",
            "telephone_number": "505-345-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "RISA",
        "middle_name": "CAREN",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "C 4422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NONE ASSIGNED",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.