Taylor Nicole Lopez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9119782 Issued in FL

Practice address

9333 SW 152ND St
Palmetto Bay, FL 33157-1778

Phone

(305) 251-2500

NPI assigned

Feb 7, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Practitioners, LLC

  • Surgical Physician Assistant
  • Pembroke Pines, FL
  • NPI 1528456548
  Medicare reassignment NPD
• Prager Simon & Associates LLP

  • Critical Care Medicine (Internal Medicine) Physician
  • Pinecrest, FL
  • NPI 1467558817
  Medicare reassignment
• Professional Healthcare Associates LLC

  • Pulmonary Disease Physician
  • Pinecrest, FL
  • NPI 1760660021
  Medicare reassignment

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1013722115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4506 E AQUA BELLA LN",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 SW 152ND ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571778",
            "telephone_number": "305-251-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9119782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Lopez Diaz, MD
• Jesus Lopez Rodriguez, CBHCM
• Michelle Lopez Torres
• Gabriel Lopez
• Juan Diego Lopez
• Sarah Jane Lopezcalleja, IBCLC, RN
• Stephanie Marie Lora, ARNP
• Lorenzo'S Enterprises Group Inc
• Lotus Care at Home LLC
• Natalia Loureiro, M.D.

• Physician Assistant in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.