Organization Active NPI

Kimberly Taylor, Inc

  • Speech-Language Pathologist
  • Greenwood, AR
National Provider Identifier
1891950200
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1443 Issued in AR
Legal business name
KIMBERLY TAYLOR, INC
Practice address
1844 Palomino Dr
Greenwood, AR 72936-4974
Phone
(479) 629-6578
NPI assigned
Jul 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Kimberly Dawn Taylor, M.S., CCC/SLPNPI 1992963789
Title
Speech Pathologist/President
Phone
(479) 629-6578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 1443 AR Primary

Addresses

Primary practice location

1844 Palomino Dr
Greenwood, AR 72936-4974

Mailing address

1844 Palomino Dr
Greenwood, AR 72936-4974
Phone (479) 629-6578

Other identifiers 1

IdentifierTypeStateIssuer
157948742MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1891950200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 PALOMINO DR",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729364974",
            "telephone_number": "479-629-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 PALOMINO DR",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729364974",
            "telephone_number": "479-629-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY TAYLOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "479-629-6578",
        "authorized_official_credential": "M.S., CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "1443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157948742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.