Active NPI
Taylor Burris, M.S. CCC-SLP
- Speech-Language Pathologist
- Walpole, MA
National Provider Identifier
1801322656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 77888
- Practice address
- 160 Main St
Walpole, MA 02081-4037 - Phone
- (508) 660-3080
- NPI assigned
- May 11, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA18560 | FL | |
| Speech-Language Pathologist | 235Z00000X | 77888 | MA | Primary |
Addresses
Primary practice location
160 Main St
Walpole, MA 02081-4037
Mailing address
PO Box 196
Redkey, IN 47373-0196
Phone (765) 717-5397
Other practice location 1
589 Highland Ave
Needham, MA 02494-2205
Phone (781) 455-9090
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA18560 | FL | MD | Speech-Language Pathologist |
| 77888 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1801322656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 196",
"city": "REDKEY",
"state": "IN",
"postal_code": "473730196",
"telephone_number": "765-717-5397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 MAIN ST",
"city": "WALPOLE",
"state": "MA",
"postal_code": "020814037",
"telephone_number": "508-660-3080"
}
],
"practiceLocations": [
{
"address_1": "589 Highland Ave",
"address_purpose": "LOCATION",
"city": "Needham",
"state": "MA",
"postal_code": "024942205",
"country_code": "US",
"telephone_number": "781-455-9090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURRIS",
"first_name": "TAYLOR",
"name_prefix": "Miss",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA18560",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "77888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walpole, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.