Active NPI
Taylor Jovanovich
- Speech-Language Pathologist
- Gilbert, AZ
National Provider Identifier
1669106746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- TSLP13959
- Practice address
- 2550 E Elliot Rd
Gilbert, AZ 85234-1304 - Phone
- (480) 892-2801
- NPI assigned
- Jul 13, 2022
- 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 | TSLP13959 | AZ | Primary |
Addresses
Primary practice location
2550 E Elliot Rd
Gilbert, AZ 85234-1304
Mailing address
3491 N Arizona Ave Unit 95
Chandler, AZ 85225-1145
Phone (303) 253-1435
Other practice location 1
3160 N Arizona Ave Ste 105
Chandler, AZ 85225-7122
Phone (480) 365-9981
Other names 1
- Taylor John
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TSLP13959 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soar Health, Inc. | Speech-Language Pathologist | 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": "1657670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1669106746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3491 N ARIZONA AVE UNIT 95",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852251145",
"telephone_number": "303-253-1435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 E ELLIOT RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852341304",
"telephone_number": "480-892-2801"
}
],
"practiceLocations": [
{
"address_1": "3160 N Arizona Ave Ste 105",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852257122",
"country_code": "US",
"telephone_number": "480-365-9981",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOVANOVICH",
"first_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-13",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "TSLP13959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAYLOR",
"last_name": "JOHN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.