Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821656729 Individual Practitioner Female Practitioner

Taylor Nichole Tidmore , MCD CCC-SLP

Speech-Language Pathologist • Maylene, AL

Professional Overview & Biography Verified Profile Summary

Taylor Tidmore, MCD CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Maylene, AL. Practice services are available at 109 LANE PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

109 Lane Park Dr

Maylene, AL 351146085

Telephone 2055471652
Fax 2056510134
Associated Practice Facility / Clinic
🏢 Bloom Pediatric Therapy, Llc Facility NPI 1831933761

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Maylene, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Maylene, AL (1814 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-22
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AL 4341

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Anne Maddox , OT

Occupational Therapist

NPI 1104364405

Occupational Therapist

Jessica Garzarek , MA, CCC-SLP

Speech-Language Pathologist

NPI 1669967394

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 22, 2024

Registered at 109 LANE PARK DR, MAYLENE, AL 351146085 (Tel: 2055471652)

📍
Updated Business Mailing Address August 22, 2024

Registered at 109 LANE PARK DR, MAYLENE, AL 351146085 (Tel: 2055471652)

NPI Profile Active June 05, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2019

Registered at 3057 LORNA RD STE 220, VESTAVIA HILLS, AL 352164518 (Tel: 2059789939)

📍
Updated Business Mailing Address June 05, 2019

Registered at 3057 LORNA RD STE 220, VESTAVIA HILLS, AL 352164518 (Tel: 2059789939)

👤
Provider Name / Credentials Updated June 05, 2019

Recorded as TAYLOR TIDMORE, MCD CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2019

Speech-Language Pathologist (License #4341 in AL)

🟢
Initial NPI Registration & Enumeration June 05, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821656729
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2019
Last Update: August 22, 2024
Sole Proprietor: No

Mailing Address

109 Lane Park Dr

Maylene, AL 351146085

Phone: 2055471652

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.