Taylor Rae Kirby

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2024020850 Issued in MO

Practice address

3488 Jeffco Blvd Ste 102
Arnold, MO 63010-6015

Phone

(636) 464-5439

Fax

(636) 564-5438

NPI assigned

Aug 6, 2024

Last updated

Oct 9, 2024By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• De Soto Public Schools

  • Local Education Agency (LEA)
  • De Soto, MO
  • NPI 1578730198
  NPD (past)

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1851121701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3488 JEFFCO BLVD STE 102",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106015",
            "telephone_number": "636-464-5439",
            "fax_number": "636-564-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3488 JEFFCO BLVD STE 102",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106015",
            "telephone_number": "636-464-5439",
            "fax_number": "636-564-5438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Vineland School Rd",
            "address_purpose": "LOCATION",
            "city": "DE Soto",
            "state": "MO",
            "postal_code": "630202561",
            "country_code": "US",
            "telephone_number": "636-586-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "TAYLOR",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2024020850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Reuther DDS PC (Reuther Family Dental)
• Shelley Keil
• Dana Kilgore, PT
• Mary Beth Kilman, PTA
• Kirby J. Robinson, DDS of Missouri, LLC (Affordable Dentures & Implants - Arnold)
• Hanna Marie Kirkiewicz
• Laura Klesel, OTR/L
• Anna Kloeppel
• Benjamin Kloess, DMD
• Chase Kneib, DPT

• Speech-Language Pathologist in Arnold, MO
• Providers in Arnold, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.