Individual provider Active NPI

Taylor Narlock, SLP

  • Speech-Language Pathologist
  • Grand Forks, ND
National Provider Identifier
1578132726
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1946 Issued in ND
Practice address
2600 Demers Ave Ste 101
Grand Forks, ND 58201-4100
Phone
(701) 757-3045
Fax
(701) 757-3046
NPI assigned
Jun 22, 2021
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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 1946 ND Primary

Addresses

Primary practice location

2600 Demers Ave Ste 101
Grand Forks, ND 58201-4100

Mailing address

2600 Demers Ave Ste 101
Grand Forks, ND 58201-4100
Phone (701) 757-3045

Other names 1

  • Taylor Kujava Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210628002973 ND Practitioner - Qualified Speech Language Pathologist 1355742321 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1946NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Partners, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Quotable Kids Pediatric Therapy Clinic, PLLC CurrentSince Jun 1, 2021 Accepting new patients
Pediatric Therapy Partners, Inc. Speech-Language Pathologist CurrentSince Jun 1, 2021 Accepting new patients

Locations

419 Atlantic Ave
Thief River Falls, MN 56701
Phone (218) 416-1482

3060 Frontier Way S
Fargo, ND 58104
Phone (701) 356-4384

1811 S Washington St
Grand Forks, ND 58201
Phone (701) 757-3045

2600 Demers Ave
Ste 101
Grand Forks, ND 58201
Phone (701) 757-3045

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1578132726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 DEMERS AVE STE 101",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014100",
            "telephone_number": "701-757-3045",
            "fax_number": "701-757-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 DEMERS AVE STE 101",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014100",
            "telephone_number": "701-757-3045",
            "fax_number": "701-757-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARLOCK",
        "first_name": "TAYLOR",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "KUJAVA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.