Individual provider Active NPI

Maya Nicolette Edinburgh-Taylor, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Beaufort, SC
National Provider Identifier
1629556758
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7530 Issued in SC
Practice address
2015 Boundary St Ste 226
Beaufort, SC 29902-6802
Phone
(843) 868-1110
Fax
(843) 594-0849
NPI assigned
Jul 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7530 SC Primary
Speech-Language Pathologist 235Z00000X 27216 CA

Addresses

Primary practice location

2015 Boundary St Ste 226
Beaufort, SC 29902-6802

Mailing address

2015 Boundary St Ste 226
Beaufort, SC 29902-6802
Phone (843) 868-1110

Other practice location 1

7918 El Cajon Blvd # N-257
LA Mesa, CA 91942-6719
Phone (619) 609-7872

Other practice location 2

2751 Roosevelt Rd Ste 203
San Diego, CA 92106-6180
Phone (619) 501-9755

Other names 1

  • Maya Nicolette Edinburgh Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maya@metaylorspeech.com Direct

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
27216CAMDSpeech-Language Pathologist
7530SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Easy Speech Pathology, Inc. CurrentSince Feb 8, 2024 Accepting new patients

Locations

75100 Mediterranean
Palm Desert, CA 92211
Phone (760) 340-9832

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": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1629556758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 BOUNDARY ST STE 226",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026802",
            "telephone_number": "843-868-1110",
            "fax_number": "843-594-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 BOUNDARY ST STE 226",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026802",
            "telephone_number": "843-868-1110",
            "fax_number": "843-594-0849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7918 El Cajon Blvd # N-257",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919426719",
            "country_code": "US",
            "telephone_number": "619-609-7872",
            "fax_number": "619-609-7954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2751 Roosevelt Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921066180",
            "country_code": "US",
            "telephone_number": "619-501-9755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDINBURGH-TAYLOR",
        "first_name": "MAYA",
        "middle_name": "NICOLETTE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "7530",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "27216",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maya@metaylorspeech.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "MTA",
            "address_1": "2015 Boundary St Ste 226",
            "city": "Beaufort",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299026802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MAYA",
            "last_name": "EDINBURGH",
            "middle_name": "NICOLETTE",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.