Organization Active NPI

Tiffany Taliaferro Speech Pathologist LLC

  • Speech-Language Pathologist
  • Olney, MD
National Provider Identifier
1952046161
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
TIFFANY TALIAFERRO SPEECH PATHOLOGIST LLC
Practice address
3423 Olney Laytonsville Rd Ste 1
Olney, MD 20832-3707
Phone
(301) 774-0052
Fax
(301) 774-8535
NPI assigned
May 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Ms. Tiffany Jonay Taliaferro, MA, CCC-SLP
Title
Owner/Lead Therapist-SLP
Phone
(410) 805-7068

Specialties & licenses 1

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

Addresses

Primary practice location

3423 Olney Laytonsville Rd Ste 1
Olney, MD 20832-3707

Mailing address

PO Box 1360
Olney, MD 20830-1360
Phone (301) 774-0052

Other identifiers 1

IdentifierTypeStateIssuer
1861169526OtherMDINDEPENDENT CONTRACTOR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1952046161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1360",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208301360",
            "telephone_number": "301-774-0052",
            "fax_number": "301-774-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3423 OLNEY LAYTONSVILLE RD STE 1",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208323707",
            "telephone_number": "301-774-0052",
            "fax_number": "301-774-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY TALIAFERRO SPEECH PATHOLOGIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "TALIAFERRO",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "JONAY",
        "authorized_official_title_or_position": "OWNER/LEAD THERAPIST-SLP",
        "authorized_official_telephone_number": "410-805-7068",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT CONTRACTOR",
            "identifier": "1861169526",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.