Active NPI
Patrecih R Taylor, RN
- Registered Nurse
- Winston Salem, NC
National Provider Identifier
1003172214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 213983
- Practice address
- 2002 Craver Meadows Dr
Winston Salem, NC 27127-8916 - Phone
- (336) 602-9858
- NPI assigned
- Apr 2, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 213983 | SC | Primary |
Addresses
Primary practice location
2002 Craver Meadows Dr
Winston Salem, NC 27127-8916
Mailing address
2002 Craver Meadows Dr
Winston Salem, NC 27127-8916
Phone (336) 602-9858
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213983 | SC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faithful Companion Group Home | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333324800000",
"number": "1003172214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 CRAVER MEADOWS DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271278916",
"telephone_number": "336-602-9858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 CRAVER MEADOWS DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271278916",
"telephone_number": "336-602-9858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "PATRECIH",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-02",
"last_updated": "2012-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "213983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.