Taylor Brooks Douglas, RBT

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

515 Palm Coast Pkwy SW
Suite 6/7
Palm Coast, FL 32137-4739

Phone

(386) 951-3044

Fax

(866) 610-0580

NPI assigned

Jul 24, 2014

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": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1053729889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 VILLAGE DR",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321363484",
            "telephone_number": "386-569-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PALM COAST PKWY SW",
            "address_2": "SUITE 6/7",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374739",
            "telephone_number": "386-951-3044",
            "fax_number": "866-610-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "TAYLOR",
        "middle_name": "BROOKS",
        "name_prefix": "Mr.",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-24",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamaris Dornan
• William Padge Dorne
• Kimberly Dos Santos
• Jilann B Doucette, RD, LDN
• Sharon Marcia Douglas
• Georgia Naria Downes
• Tracy Morrow Downing
• Dr Karin Schoeler OD PA
• Michelle Draves, ACNPC-AG
• Michael Barry Drew, PHD, NCC

• Other Technician in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Other Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.