Active NPI
Lateka Kegler- Taylor, M.A., CCC- SLP
- Speech-Language Pathologist
- Blythewood, SC
National Provider Identifier
1740543792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP.5079 SPIN
- Practice address
- 344 View Dr
Blythewood, SC 29016-7252 - Phone
- (704) 780-0211
- NPI assigned
- Jun 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | SLP.5079 SPIN | SC | Primary |
Addresses
Primary practice location
344 View Dr
Blythewood, SC 29016-7252
Mailing address
344 View Dr
Blythewood, SC 29016-7252
Phone (704) 780-0211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA1652 | Medicaid | SC |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP.5079 SPIN | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466035200000",
"number": "1740543792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 VIEW DR",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290167252",
"telephone_number": "704-780-0211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 VIEW DR",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290167252",
"telephone_number": "704-780-0211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEGLER- TAYLOR",
"first_name": "LATEKA",
"name_prefix": "Mrs.",
"credential": "M.A., CCC- SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-22",
"last_updated": "2016-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "SLP.5079 SPIN",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SA1652",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blythewood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.