Active NPI
Dewanna Michelle Taylor
- Licensed Vocational Nurse
- Whitewright, TX
National Provider Identifier
1043710619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 181533
- Practice address
- 10105 State Highway 11
Whitewright, TX 75491-5346 - Phone
- (903) 624-9258
- NPI assigned
- Feb 20, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 181533 | TX | Primary |
Addresses
Primary practice location
10105 State Highway 11
Whitewright, TX 75491-5346
Mailing address
10105 State Highway 11
Whitewright, TX 75491-5346
Phone (903) 624-9258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181533 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 181533 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519084800000",
"number": "1043710619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10105 STATE HIGHWAY 11",
"city": "WHITEWRIGHT",
"state": "TX",
"postal_code": "754915346",
"telephone_number": "903-624-9258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10105 STATE HIGHWAY 11",
"city": "WHITEWRIGHT",
"state": "TX",
"postal_code": "754915346",
"telephone_number": "903-624-9258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "DEWANNA",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-20",
"last_updated": "2018-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "181533",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181533",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whitewright, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.