Individual provider Active NPI

Lauren Taggart, MS, CCC-SLP

  • Speech-Language Pathologist
  • Mesa, AZ
National Provider Identifier
1861053399
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP12717 Issued in AZ
Practice address
108 W University Dr
Mesa, AZ 85201-5818
Phone
(480) 668-1917
Fax
(480) 668-2750
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ9092 FL
Speech-Language Pathologist 235Z00000X SLP12717 AZ Primary

Addresses

Primary practice location

108 W University Dr
Mesa, AZ 85201-5818

Mailing address

1930 S 24TH St Apt 342
Mesa, AZ 85204-6986
Phone (480) 299-3831

Other practice location 1

4350 E Ray Rd
Phoenix, AZ 85044-4703
Phone (480) 704-5954

Other practice location 2

7552 Navarre Pkwy Unit 32
Navarre, FL 32566-7308
Phone (850) 939-3944

Other identifiers 1

IdentifierTypeStateIssuer
083512MedicaidAZ

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

LicenseStateTypeSpecialty
SLP12717AZMDSpeech-Language Pathologist
SZ9092FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mentis Reo, LLC. PastSince Aug 28, 2021 Accepting new patients
Advanced Therapy Solutions, LLC PastSince Dec 1, 2015 Accepting new patients
Desert Valley Pediatric Therapy PastSince Mar 6, 2022 Accepting new patients

Organizations & group practices 3

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1861053399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S 24TH ST APT 342",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046986",
            "telephone_number": "480-299-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015818",
            "telephone_number": "480-668-1917",
            "fax_number": "480-668-2750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4350 E Ray Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850444703",
            "country_code": "US",
            "telephone_number": "480-704-5954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7552 Navarre Pkwy Unit 32",
            "address_purpose": "LOCATION",
            "city": "Navarre",
            "state": "FL",
            "postal_code": "325667308",
            "country_code": "US",
            "telephone_number": "850-939-3944",
            "fax_number": "850-939-3945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAGGART",
        "first_name": "LAUREN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ9092",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP12717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083512",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.