Taryn Casillas, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12415852-4102 Issued in UT

Practice address

1570 N Main St
Spanish Fork, UT 84660-1006

Phone

(801) 210-9319

NPI assigned

Aug 22, 2021

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

Credentials

Master of Science

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.

• Re Therapy Services

  • Multi-Specialty Clinic/Center
  • Spanish Fork, UT
  • NPI 1457860744
  NPD (past)

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

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629590400000",
    "number": "1710653415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 N MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601006",
            "telephone_number": "801-210-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 N MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601006",
            "telephone_number": "801-210-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASILLAS",
        "first_name": "TARYN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-22",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "12415852-4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKay Russell Carr
• David J Carrillo, LMT
• Quinton Wayne Carson
• Heidi Carter, MOTR
• Mariita Carter, FNP
• Kolbey Casper
• Kimberly Sheree Casten, MD, MPHIL
• Julian Castillo-Rodriquez, LMT
• Lindsey Ann Castleberry, PA-C
• Karin Caswell

• Speech-Language Pathologist in Spanish Fork, UT
• Providers in Spanish Fork, UT by specialty
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; 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.