Malcolm Taylor, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1120 N Melvin St
Gibson City, IL 60936-1477

Phone

(217) 784-4251

NPI assigned

Jun 6, 2022

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1023747094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 LYNDHURST DR APT E",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749228",
            "telephone_number": "217-898-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N MELVIN ST",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609361477",
            "telephone_number": "217-784-4251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Lyndhurst Dr Apt E",
            "address_purpose": "LOCATION",
            "city": "Savoy",
            "state": "IL",
            "postal_code": "618749228",
            "country_code": "US",
            "telephone_number": "217-898-0216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MALCOLM",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheree Stachura, JD, MSN, APRN,FNP-BC
• Kacy Marie Standiford, PA-C
• Jennifer Sterrenberg
• Brooke Rachelle Stewart, FNP-C
• Wamaitha Sullivan, FNP-BC
• Summer Taylor
• Denise Thornton
• Ivonne Marie Torres Baez, MD
• Katelyn Belle Van Vickle, LSW
• Chad Eric Vaughn, ATC

• Athletic Trainer in Gibson City, IL
• Providers in Gibson City, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.