Individual provider Active NPI

Terri Leaann Wright, SLP

  • Speech-Language Pathologist
  • Round Rock, TX
National Provider Identifier
1568916997
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
111600 Issued in TX
Practice address
1201 S Ih 35
Ste.105
Round Rock, TX 78664-6615
Phone
(512) 310-7665
Fax
(512) 310-9228
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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 111600 TX Primary

Addresses

Primary practice location

1201 S Ih 35
Ste.105
Round Rock, TX 78664-6615

Mailing address

1201 S Ih 35
Ste.105
Round Rock, TX 78664-6615
Phone (512) 310-7665

Other identifiers 1

IdentifierTypeStateIssuer
094474602MedicaidTX

Other names 1

  • Terri Leaann Taylor Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
111600TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Reavis Rehab & Wellness Center, Inc. Past Accepting new patients

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": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1568916997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S IH 35",
            "address_2": "STE.105",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646615",
            "telephone_number": "512-310-7665",
            "fax_number": "512-310-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S IH 35",
            "address_2": "STE.105",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646615",
            "telephone_number": "512-310-7665",
            "fax_number": "512-310-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "TERRI",
        "middle_name": "LEAANN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094474602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "TAYLOR",
            "middle_name": "LEAANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.