Active NPI
Nicole Redd Taylor, M.S., CCC-SLP
- Speech-Language Pathologist
- Tustin, CA
National Provider Identifier
1780357459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 16054
- Practice address
- 1092 E Main St Apt 19
Tustin, CA 92780-4436 - Phone
- (949) 544-8851
- NPI assigned
- Jul 28, 2021
- 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 | 16054 | CA | Primary |
Addresses
Primary practice location
1092 E Main St Apt 19
Tustin, CA 92780-4436
Mailing address
1092 E Main St Apt 19
Tustin, CA 92780-4436
Phone (949) 544-8851
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1780357459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1092 E MAIN ST APT 19",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927804436",
"telephone_number": "949-544-8851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1092 E MAIN ST APT 19",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927804436",
"telephone_number": "949-544-8851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "NICOLE",
"middle_name": "REDD",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "16054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.