Carrie Davis Taub

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

16416 Issued in TX

Practice address

107 Woodbine PL Unit 775
Longview, TX 75601-2912

Phone

(037) 578-1949

Fax

(903) 757-8294

NPI assigned

May 24, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Carrie Bower Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Sabine Valley Regional MHMR Center

  • Specialist
  • Longview, TX
  • NPI 1821214537
  NPD (past)

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1790045730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WOODBINE PL UNIT 775",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756012912",
            "telephone_number": "903-757-8194",
            "fax_number": "903-757-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WOODBINE PL UNIT 775",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756012912",
            "telephone_number": "037-578-1949",
            "fax_number": "903-757-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUB",
        "first_name": "CARRIE",
        "middle_name": "DAVIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "16416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "BOWER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tamarck Residential Services
• Ezza Tariq, MD
• Jennifer Morgan Tarr, RN, APRN, FNP-C
• Jonathan Jett Tate, PT
• Kamilah J Tatum, RBT
• Katherine Tavey, MS-SLP
• Anna Maria Taylor, NP-C
• Bernard William Taylor Jr., MD
• Bradley Taylor, CRNA
• Donna Taylor, COTA

• Speech-Language Pathologist in Longview, TX
• Providers in Longview, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.