Diane Jane Taylor, MSCCCSL

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

339-154 Issued in WI

Practice address

600 S Webster Ave
Green Bay, WI 54301-3503

Phone

(920) 432-3213

Fax

(920) 432-0614

NPI assigned

Jan 30, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1891933776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 INNSBRUCK CT",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543024944",
            "telephone_number": "920-468-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013503",
            "telephone_number": "920-432-3213",
            "fax_number": "920-432-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DIANE",
        "middle_name": "JANE",
        "credential": "MSCCCSL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "339-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42618800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aniella Tarantino
• Eric J Tarsi, PT
• Tyler Marie Tatro, PT, DPT
• Kim Tavener
• Daniel Taylor, LMFT
• Grace Taylor, MD
• John W Taylor, D.O.
• Katelyn Taylor
• Martha Marie Taylor, PA-C
• Tanner Nichole Taylor, OD

• Speech-Language Pathologist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.