Taylor M Gunderson

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SP13500 Issued in AZ

Practice address

5656 S Power Rd # 115
Gilbert, AZ 85295-8480

Phone

(602) 459-6396

NPI assigned

Jan 8, 2022

Last updated

Jan 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641600000000",
    "number": "1538820857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2759 S SORRELLE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092517",
            "telephone_number": "602-459-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 S POWER RD # 115",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958480",
            "telephone_number": "602-459-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDERSON",
        "first_name": "TAYLOR",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-08",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SP13500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imani Guillory
• Matthew Gulbrandsen, MD
• Anelisse Guler, SLP-A
• Josette Gullickson
• Shannon Lee Gundersen
• Cary L Gundlach, DC
• Cheyenne Gunsalus, RN
• Sunita Gupta, MD
• Tare C Gurira, D.C.
• Mikael Guthrie, DNP, PMHNP-BC

• Speech-Language Assistant in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; 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.