Active NPI
Kristian Taylor
- Speech-Language Pathologist
- Lufkin, TX
National Provider Identifier
1497905665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 33849
- Practice address
- 1302 Tom Temple Dr
Lufkin, TX 75904-5581 - Phone
- (601) 250-4815
- NPI assigned
- Sep 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 33849 | TX | Primary |
Addresses
Primary practice location
1302 Tom Temple Dr
Lufkin, TX 75904-5581
Mailing address
27 Green Slope PL
The Woodlands, TX 77381-4415
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 |
|---|---|---|---|
| 33849 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222646400000",
"number": "1497905665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 GREEN SLOPE PL",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773814415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 TOM TEMPLE DR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759045581",
"telephone_number": "601-250-4815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "KRISTIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-24",
"last_updated": "2008-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "33849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.