Taylor Lynn Siebert

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2024028187 Issued in MO

Practice address

300 Berry Rd
Bonne Terre, MO 63628-3580

Phone

(573) 431-3300

NPI assigned

Sep 16, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• West County R-IV School District

  • Local Education Agency (LEA)
  • Leadwood, MO
  • NPI 1780727917

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1679300479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21865 SIEBERT RD",
            "city": "SAINTE GENEVIEVE",
            "state": "MO",
            "postal_code": "636708748",
            "telephone_number": "573-880-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BERRY RD",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636283580",
            "telephone_number": "573-431-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1124 Main St",
            "address_purpose": "LOCATION",
            "city": "Leadwood",
            "state": "MO",
            "postal_code": "636531214",
            "country_code": "US",
            "telephone_number": "573-562-7535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEBERT",
        "first_name": "TAYLOR",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2024028187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin B Rosa, SLP
• Susan M Rouggly, LCSW
• Rachelle Sappington
• Alice Schilly-Rhodes, P.T.
• Brianna M Shelton, M.S., CCC-SLP
• Roxanne Marie Simmons, M.A., CCC-SLP
• Annetta Slover
• Michelle D Spray, O.D.
• Cheyenne Spurgin, PTA
• St Joe Manor Inc

• Speech-Language Pathologist in Bonne Terre, MO
• Providers in Bonne Terre, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.