Vicky R Taylor, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L2691 Issued in TX

Practice address

6724 Verde #228
Irving, TX 75039

Phone

(972) 978-7473

NPI assigned

Feb 13, 2007

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 TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Spring Branch Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1235141409
  Medicare reassignment NPD
• Spring Branch Community Health Center

  dba West Houston Pharmacy

  • Community/Retail Pharmacy
  • Katy, TX
  • NPI 1003628140
  NPD
• Spring Branch Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Cypress, TX
  • NPI 1871022467

  Pediatrics

  NPD
• Spring Branch Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1558688135

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1053453225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6724 VERDE #228",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75039",
            "telephone_number": "972-978-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6724 VERDE #228",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75039",
            "telephone_number": "972-978-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "VICKY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L2691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deondra Taylor
• Kristen Elise Taylor, DO.
• Melinda Taylor
• Pamela J. Taylor, ARNP
• Shari Lyn Taylor, MD
• Taylormade Life Resources
• Tdme
• Ted Care III LLC (Texas Care Las Colinas)
• Ted Ventures, LLC (Move Sports Medicine & Rehab)
• Teddrick Dunson, PLLC (Thrive Pain Management)

• Pediatrics Physician in Irving, TX
• Providers in Irving, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.