Active NPI
Nakia Tamika Taylor Dailey, MS, CCC-SLP
- Speech-Language Pathologist
- Port Saint Joe, FL
National Provider Identifier
1750861399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA12451
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0020127.00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA12451 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dailey Therapy, LLC | Speech-Language Pathologist | Current | 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.