Taylor Sky Derris, M.S. CFY SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ 7664 Issued in FL

Practice address

11025 SW 84TH St
Cottage 8
Miami, FL 33173-3857

Phone

(732) 567-7387

NPI assigned

Aug 19, 2016

Last updated

Aug 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471737600000",
    "number": "1700331733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S BISCAYNE BLVD",
            "address_2": "APARTMENT 3916",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312306",
            "telephone_number": "732-567-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11025 SW 84TH ST",
            "address_2": "COTTAGE 8",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733857",
            "telephone_number": "732-567-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRIS",
        "first_name": "TAYLOR",
        "middle_name": "SKY",
        "credential": "M.S. CFY SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ 7664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Miami, FL
• Providers in Miami, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2016; 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.