Active NPI
Jennifer Taylor
- Speech-Language Pathologist
- Norfolk, VA
National Provider Identifier
1619194479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202004715
- Practice address
- 6330 Newtown Rd
Suite 509
Norfolk, VA 23502-2350 - Phone
- (757) 449-2557
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 2202004715 | VA | Primary |
Addresses
Primary practice location
6330 Newtown Rd
Suite 509
Norfolk, VA 23502-2350
Mailing address
727 Delaware Ave
Norfolk, VA 23508-2813
Other practice location 1
4560 South Blvd
310
Virginia Beach, VA 23452-1160
Phone (757) 490-3223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004979907 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | WebPT |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1619194479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 DELAWARE AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235082813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6330 NEWTOWN RD",
"address_2": "SUITE 509",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235022350",
"telephone_number": "757-449-2557"
}
],
"practiceLocations": [
{
"address_1": "4560 South Blvd",
"address_2": "310",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234521160",
"country_code": "US",
"telephone_number": "757-490-3223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202004715",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004979907",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "WebPT",
"affiliation": "N",
"address_1": "6330 Newtown Rd Ste 509",
"city": "Norfolk",
"state": "VA",
"country_code": "US",
"postal_code": "235024808",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.