Taylor Nicole Hullett, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

37574 Issued in CA

Practice address

15120 Kensington Park Dr
Tustin, CA 92782-1801

Phone

(714) 832-9200

NPI assigned

Sep 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Maxum Physical Therapy Inc

  • Physical Therapist
  • Placentia, CA
  • NPI 1629002936

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1841018157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13416 VERONA",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927829151",
            "telephone_number": "714-366-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15120 KENSINGTON PARK DR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821801",
            "telephone_number": "714-832-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "774 S Placentia Ave",
            "address_purpose": "LOCATION",
            "city": "Placentia",
            "state": "CA",
            "postal_code": "928706826",
            "country_code": "US",
            "telephone_number": "714-646-8319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULLETT",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "37574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Hudson, M.A
• Jense Jaye Hudson, RN
• Ashley Jenifer Huerta, AU.D.
• Erik Matthew Hughes, RADT -1
• Rachel M Hughes
• Anika Lynn Hume
• Joyce Humphrey
• Yu Tsai Hung, OMD
• Mary Kathryn Swisher Hunter, PT, DPT
• Benjamin Hurst, MBA

• Speech-Language Pathologist in Tustin, CA
• Providers in Tustin, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.