Individual provider Active NPI

Taylor Mei King Callicutt

  • Speech-Language Pathologist
  • Huntsville, AL
National Provider Identifier
1740774249
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4328 Issued in AL
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

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
4328ALMDPediatrics 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.

Verify at the official NPI Registry.