Individual provider Active NPI

Nakia Tamika Taylor Dailey, MS, CCC-SLP

  • Speech-Language Pathologist
  • Port Saint Joe, FL
National Provider Identifier
1750861399
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA12451 Issued in FL
Practice address
113 Gulf Terrace LN
Port Saint Joe, FL 32456-4745
Phone
(561) 351-8741
Fax
(850) 743-4088
NPI assigned
Aug 14, 2018
Last updated
Nov 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA12451 FL Primary

Addresses

Primary practice location

113 Gulf Terrace LN
Port Saint Joe, FL 32456-4745

Mailing address

113 Gulf Terrace LN
Port Saint Joe, FL 32456-4745
Phone (561) 351-8741

Other identifiers 1

IdentifierTypeStateIssuer
0020127.00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250213002290 FL Practitioner - Qualified Speech Language Pathologist 4183154685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dailey Therapy, LLCGroup PAC ID 0648700146, 2 clinicians

Practice addresses (Care Compare)

106 Sailors Cove Dr
Suite B
Port Saint Joe, FL 32456-1890
Phone (850) 544-2197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA12451FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dailey Therapy, LLC Speech-Language Pathologist CurrentSince Nov 7, 2024 Accepting new patients

Locations

106 Sailors Cove Dr
#B
Port Saint Joe, FL 32456
Phone (850) 544-2197

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1750861399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 GULF TERRACE LN",
            "city": "PORT SAINT JOE",
            "state": "FL",
            "postal_code": "324564745",
            "telephone_number": "561-351-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 GULF TERRACE LN",
            "city": "PORT SAINT JOE",
            "state": "FL",
            "postal_code": "324564745",
            "telephone_number": "561-351-8741",
            "fax_number": "850-743-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAILEY",
        "first_name": "NAKIA",
        "middle_name": "TAMIKA TAYLOR",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020127.00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Joe, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.