Organization Active NPI

Loni Taylor Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Durant, OK
National Provider Identifier
1013348630
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
90221 Issued in OK
Legal business name
LONI TAYLOR ANESTHESIA PLLC
Practice address
5389 N 1St Ave
Durant, OK 74701-2599
Phone
(281) 249-5954
Fax
(281) 605-5792
NPI assigned
Dec 7, 2013
Last updated
Aug 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Loni E Taylor, CRNANPI 1205184272
Title
Owner
Phone
(281) 249-5954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X 90221 OK Primary

Addresses

Primary practice location

5389 N 1St Ave
Durant, OK 74701-2599

Mailing address

PO Box 788
Kingston, OK 73439-0788
Phone (281) 249-5954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141029000097 OK Part B Supplier - Clinic/Group Practice 3577784966 Receives reassigned benefits from 1 practitioner
Practice locations: Durant, OK

National Provider Directory

National Provider Directory

Locations

5389 N 1st Ave
Durant, OK 74701
Phone (405) 329-7300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1386374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1013348630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "KINGSTON",
            "state": "OK",
            "postal_code": "734390788",
            "telephone_number": "281-249-5954",
            "fax_number": "281-605-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5389 N 1ST AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012599",
            "telephone_number": "281-249-5954",
            "fax_number": "281-605-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONI TAYLOR ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-07",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LONI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-249-5954",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "90221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.