Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Taylor Nicole Eide, SLP

Individual provider Behavior Technician · NPI 1780250670

Taylor Nicole Eide, SLP is a Qualified Speech Language Pathologist in Fargo, North Dakota. Qualified in 2024, 2 years ago. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

6046 14th St S
Fargo, ND 58104-7226
Phone: (701) 404-0997
Fax: (701) 566-8876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 528920 (MN)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1780250670
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorNo
NPI enumeratedJune 1, 2021
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address6046 14th St S, Fargo, ND 58104-7226

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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