Individual provider Active NPI

Carolyn Sue Taulbee

  • Nurse's Aide
  • Logan, OH
National Provider Identifier
1033396619
Registry record updated Jan 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
400588220207 Issued in OH
Practice address
360 E 2ND St
Logan, OH 43138-1316
Phone
(740) 380-6362
NPI assigned
Jan 26, 2008
Last updated
Jan 26, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 400588220207 OH Primary

Addresses

Primary practice location

360 E 2ND St
Logan, OH 43138-1316

Mailing address

360 E 2ND St
Logan, OH 43138-1316
Phone (740) 380-6362

Other identifiers 1

IdentifierTypeStateIssuer
2732476MedicaidOH

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

State licenses

LicenseStateTypeSpecialty
400588220207OHMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1201305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201305600000",
    "number": "1033396619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E 2ND ST",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431381316",
            "telephone_number": "740-380-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E 2ND ST",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431381316",
            "telephone_number": "740-380-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAULBEE",
        "first_name": "CAROLYN",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-26",
        "last_updated": "2008-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "400588220207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2732476",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2008; 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.