Active NPI
Taylor Mei King Callicutt
- Speech-Language Pathologist
- Huntsville, AL
National Provider Identifier
1740774249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4328
- Practice address
- 4900 University SQ Ste 24
Huntsville, AL 35816-1829 - Phone
- (256) 837-2470
- NPI assigned
- Jun 18, 2018
- 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 | 4328 | AL | Primary |
Addresses
Primary practice location
4900 University SQ Ste 24
Huntsville, AL 35816-1829
Mailing address
8011 Tea Garden Rd SE
Huntsville, AL 35802-3953
Phone (256) 479-0598
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 |
|---|---|---|---|
| 4328 | AL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529280000000",
"number": "1740774249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8011 TEA GARDEN RD SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358023953",
"telephone_number": "256-479-0598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 UNIVERSITY SQ STE 24",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358161829",
"telephone_number": "256-837-2470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLICUTT",
"first_name": "TAYLOR",
"middle_name": "MEI KING",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-18",
"last_updated": "2018-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "4328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.