Active NPI
Taylor Marie Tom, MCD, CF-SLP
- Speech-Language Pathologist
- Marrero, LA
National Provider Identifier
1871227512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 4600 River Rd
Marrero, LA 70072-1943 - Phone
- (504) 349-7929
- NPI assigned
- Jul 10, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LA | Primary |
Addresses
Primary practice location
4600 River Rd
Marrero, LA 70072-1943
Mailing address
5120 Wade Dr
Metairie, LA 70003-2754
Phone (504) 982-9567
Other practice location 1
501 Manhattan Blvd
Harvey, LA 70058-4443
Phone (504) 349-7929
Other practice location 2
822 S Clearview Pkwy
Harahan, LA 70123-3401
Phone (504) 349-7929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1701033 | Medicaid | LA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657411200000",
"number": "1871227512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5120 WADE DR",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700032754",
"telephone_number": "504-982-9567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 RIVER RD",
"city": "MARRERO",
"state": "LA",
"postal_code": "700721943",
"telephone_number": "504-349-7929"
}
],
"practiceLocations": [
{
"address_1": "501 Manhattan Blvd",
"address_purpose": "LOCATION",
"city": "Harvey",
"state": "LA",
"postal_code": "700584443",
"country_code": "US",
"telephone_number": "504-349-7929",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "822 S Clearview Pkwy",
"address_purpose": "LOCATION",
"city": "Harahan",
"state": "LA",
"postal_code": "701233401",
"country_code": "US",
"telephone_number": "504-349-7929",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOM",
"first_name": "TAYLOR",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "MCD, CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-10",
"last_updated": "2022-07-10",
"certification_date": "2022-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1701033",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.