Individual provider Active NPI

Taylor Lynn McDonald, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Keyser, WV
National Provider Identifier
1790360576
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
09108 Issued in MD
Practice address
135 Southern Dr
Keyser, WV 26726-2010
Phone
(304) 788-3415
NPI assigned
Mar 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 1960 WV
Speech-Language Pathologist 235Z00000X 09108 MD Primary

Addresses

Primary practice location

135 Southern Dr
Keyser, WV 26726-2010

Mailing address

519 N Lakewood Dr
Ridgeley, WV 26753-9834
Phone (304) 813-7628

Other practice location 1

1025 Memorial Dr
Oakland, MD 21550-4343
Phone (301) 334-7750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220120001100 MD Practitioner - Qualified Speech Language Pathologist 1052703238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13141 Garrett Hwy
Oakland, MD 21550-1164
Phone (304) 813-7628

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1960WVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Maryland Speech and Swallowing Therapy Speech-Language Pathologist CurrentSince Sep 15, 2021 Accepting new patients

Locations

13141 Garrett Hwy
Oakland, MD 21550
Phone (301) 334-5220

1025 Memorial Dr
Oakland, MD 21550
Phone (301) 334-7680

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1790360576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 N LAKEWOOD DR",
            "city": "RIDGELEY",
            "state": "WV",
            "postal_code": "267539834",
            "telephone_number": "304-813-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 SOUTHERN DR",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267262010",
            "telephone_number": "304-788-3415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "MD",
            "postal_code": "215504343",
            "country_code": "US",
            "telephone_number": "301-334-7750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "TAYLOR",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-13",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "1960",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "09108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keyser, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.