Individual provider Active NPI

Dawn Marie Taylor

  • Licensed Practical Nurse
  • Cleveland, TN
National Provider Identifier
1073250148
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
98212 Issued in TN
Practice address
201 Dooley St SE
Cleveland, TN 37311-6220
Phone
(423) 728-7020
Fax
(423) 479-6130
NPI assigned
May 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 98212 TN Primary

Addresses

Primary practice location

201 Dooley St SE
Cleveland, TN 37311-6220

Mailing address

201 Dooley St SE
Cleveland, TN 37311-6220
Phone (423) 728-7020

Other practice location 1

1978 Ladd Springs Rd SE
Cleveland, TN 37323-8162
Phone (423) 728-7020 ext. 171

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

LicenseStateTypeSpecialty
98212TNMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1073250148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DOOLEY ST SE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373116220",
            "telephone_number": "423-728-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DOOLEY ST SE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373116220",
            "telephone_number": "423-728-7020",
            "fax_number": "423-479-6130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1978 Ladd Springs Rd SE",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373238162",
            "country_code": "US",
            "telephone_number": "423-728-7020 x171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "98212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.