Active NPI
Lauren Taggart, MS, CCC-SLP
- Speech-Language Pathologist
- Mesa, AZ
National Provider Identifier
1861053399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP12717
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 083512 | Medicaid | AZ |
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 |
|---|---|---|---|
| SLP12717 | AZ | MD | Speech-Language Pathologist |
| SZ9092 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mentis Reo, LLC. | Past | Accepting new patients | |
| Advanced Therapy Solutions, LLC | Past | Accepting new patients | |
| Desert Valley Pediatric Therapy | Past | 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.
-
- Hearing and Speech Clinic/Center
- Mesa, AZ
- NPI 1972659399
-
- Specialist
- Phoenix, AZ
- NPI 1528209830
-
- Developmental Disabilities Clinic/Center
- Gilbert, AZ
- NPI 1609541283
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.