Active NPI
Brett Taylor, M.A., CCC-SLP
- Speech-Language Pathologist
- Kingwood, TX
National Provider Identifier
1922591353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 113780
- Practice address
- 24025 Kingwood Place Dr
Kingwood, TX 77339-3862 - Phone
- (281) 312-4400
- NPI assigned
- Jun 11, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 113780 | TX | Primary |
Addresses
Primary practice location
24025 Kingwood Place Dr
Kingwood, TX 77339-3862
Mailing address
42 Jenkins St
Houston, TX 77003-1914
Phone (832) 289-8971
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 Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528675200000",
"number": "1922591353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 JENKINS ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770031914",
"telephone_number": "832-289-8971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24025 KINGWOOD PLACE DR",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773393862",
"telephone_number": "281-312-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "BRETT",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-11",
"last_updated": "2018-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "113780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.