Individual provider Active NPI

Taylor Swinford, CCC-SLP, CAS

  • Speech-Language Pathologist
  • Springfield, MO
National Provider Identifier
1508240136
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ 7153 Issued in FL
Practice address
134 Park Central SQ Ste 220
Springfield, MO 65806-1356
Phone
(184) 453-6826
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 SZ 7153 FL Primary

Addresses

Primary practice location

134 Park Central SQ Ste 220
Springfield, MO 65806-1356

Mailing address

3023 Alcazar PL. Apt. 104
Palm Beach Gardens, FL 33410
Phone (815) 608-4555

Other practice location 1

1080 E Indiantown Rd
Jupiter, FL 33477-5100
Phone (561) 670-4864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220711000628 LA Practitioner - Qualified Speech Language Pathologist 9436539269 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SZ 7153FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeter Speech Language Pathology Services, LLC Speech-Language Pathologist CurrentSince Jun 29, 2022 Accepting new patients

Locations

1950 E 70th St
Ste A
Shreveport, LA 71105
Phone (318) 219-6064

2025 Southern Ave
Shreveport, LA 71104
Phone (318) 219-6064

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.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508240136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 ALCAZAR PL. APT. 104",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "815-608-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 PARK CENTRAL SQ STE 220",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658061356",
            "telephone_number": "184-453-6826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 E Indiantown Rd",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334775100",
            "country_code": "US",
            "telephone_number": "561-670-4864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWINFORD",
        "first_name": "TAYLOR",
        "credential": "CCC-SLP, CAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ 7153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.