Stephen Andrew Taylor, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000007101 Issued in OH

Practice address

4665 Blue Plains Dr SW
Washington, DC 20032-5202

Phone

(202) 645-6669

NPI assigned

Jul 18, 2019

Last updated

Jul 18, 2019By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1053964148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E MONROE AVE APT 210",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223013023",
            "telephone_number": "727-735-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 BLUE PLAINS DR SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200325202",
            "telephone_number": "202-645-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "STEPHEN",
        "middle_name": "ANDREW",
        "credential": "AT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "2000007101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanika Taylor
• Shannon Taylor, OTR/L
• Shaquita Taylor
• Shaunice Nycole Taylor, RN
• Sheree Taylor
• Steven Arnold Taylor, DDS
• Sylvia Taylor
• Tanya Alexis Taylor, LICSW
• Tavon Delante Taylor, LGSW
• Tiara Jenee Taylor, RN

• Athletic Trainer in Washington, DC
• Providers in Washington, DC by specialty
• Athletic Trainer in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.