Individual provider Active NPI

Taylore Ngumafor Che

  • Speech-Language Pathologist
  • Slidell, LA
National Provider Identifier
1649964818
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8064 Issued in LA
Practice address
1337 Gause Blvd Ste 107&108
Slidell, LA 70458-3000
Phone
(985) 201-7032
Fax
(985) 307-4050
NPI assigned
Jun 8, 2023
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 8064 LA Primary

Addresses

Primary practice location

1337 Gause Blvd Ste 107&108
Slidell, LA 70458-3000

Mailing address

925 Joseph St
Slidell, LA 70458-8461
Phone (513) 288-4700

Other practice location 1

1620 Highway 11 N Ste C
Picayune, MS 39466-2070
Phone (769) 242-2626

Other practice location 2

1601 Central Ave W
Wiggins, MS 39577-2401
Phone (601) 716-3196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240910002256 LA Practitioner - Qualified Speech Language Pathologist 7517407190 Reassigns benefits to 1 organization
I20240930002161 MS Practitioner - Qualified Speech Language Pathologist 7517407190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Physical Therapy Clinic IncGroup PAC ID 6103167184, 13 clinicians

Practice addresses (Care Compare)

1337 Gause Blvd
Suite 107And108
Slidell, LA 70458-3000
Phone (985) 201-7032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8064LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kay H. Parker, LLC Speech-Language Pathologist PastSince Jul 2, 2023 Accepting new patients

Organizations & group practices 2

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": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1649964818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 JOSEPH ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588461",
            "telephone_number": "513-288-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 GAUSE BLVD STE 107&108",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583000",
            "telephone_number": "985-201-7032",
            "fax_number": "985-307-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 Highway 11 N Ste C",
            "address_purpose": "LOCATION",
            "city": "Picayune",
            "state": "MS",
            "postal_code": "394662070",
            "country_code": "US",
            "telephone_number": "769-242-2626",
            "fax_number": "769-242-2685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Central Ave W",
            "address_purpose": "LOCATION",
            "city": "Wiggins",
            "state": "MS",
            "postal_code": "395772401",
            "country_code": "US",
            "telephone_number": "601-716-3196",
            "fax_number": "601-974-9919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHE",
        "first_name": "TAYLORE",
        "middle_name": "NGUMAFOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "8064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.