Carmalita Ann Taylor Thomas, FNP PNP

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

38 382097 Issued in NY

Practice address

4626 White Plains Rd
Bronx, NY 10470-1610

Phone

(718) 547-4071

Fax

(718) 547-4099

NPI assigned

Aug 4, 2011

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

Other names 1

• Ms. Carmalita Ann Taylor Thomas Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1063791382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 PALMER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104751500",
            "telephone_number": "718-547-4071",
            "fax_number": "718-547-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701610",
            "telephone_number": "718-547-4071",
            "fax_number": "718-547-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR THOMAS",
        "first_name": "CARMALITA",
        "middle_name": "ANN",
        "credential": "FNP PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "38 382097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMALITA",
            "last_name": "TAYLOR THOMAS",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "NURSE PRACTIONER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tay Tay Mac Evaluations & Therapy
• Ummeayman Tayabali
• Nicolai Alexandre Tayco, MD
• Baraa Osama Tayeb
• Shirley Ann Taylor Dunn, LCSW
• Melissa Taylor-Bobb, NP
• Lorraine Taylor-Bogle
• N'Gadie Chinkata Taylor-Kamara, M.D.
• Shelly Taylor-Soetan, DMD
• Allison Taylor, MD

• Federally Qualified Health Center (FQHC) in Bronx, NY
• Providers in Bronx, NY by specialty
• Federally Qualified Health Center (FQHC) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.