Individual provider Active NPI

Kathryn Taylor, CCC-SLP

  • Speech-Language Pathologist
  • Lee, NH
National Provider Identifier
1891990909
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA12559 Issued in FL
Practice address
124 Wednesday Hill Rd
Lee, NH 03861-6539
Phone
(603) 731-5946
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 1122 NH
Speech-Language Pathologist 235Z00000X SA12559 FL Primary

Addresses

Primary practice location

124 Wednesday Hill Rd
Lee, NH 03861-6539

Mailing address

320 S Flamingo Rd # 251
Pembroke Pines, FL 33027-1770
Phone (603) 731-5946

Other practice location 1

320 S Flamingo Rd # 251
Pembroke Pines, FL 33027-1770
Phone (603) 731-5946

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

State licenses

LicenseStateTypeSpecialty
1122NHMDPsychologist
SA12559FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891990909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S FLAMINGO RD # 251",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271770",
            "telephone_number": "603-731-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WEDNESDAY HILL RD",
            "city": "LEE",
            "state": "NH",
            "postal_code": "038616539",
            "telephone_number": "603-731-5946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 S Flamingo Rd # 251",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330271770",
            "country_code": "US",
            "telephone_number": "603-731-5946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KATHRYN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "1122",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.