Taylor Made Clinic, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TAYLOR MADE CLINIC, PLLC

Doing business as

Taylor Made Clinic

Practice address

316 E Main St
Mountain View, AR 72560-0316

Phone

(870) 269-8700

NPI assigned

Sep 8, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Callie R Taylor, APRNNPI 1851758973

Title

Owner

Phone

(870) 269-8700

Specialties & licenses 2

Addresses

Other names 1

• Taylor Made Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Callie R Taylor, APRN, FNP-C

  • Family Nurse Practitioner
  • Mountain View, AR
  • NPI 1851758973
  Medicare reassignment Care Compare group NPD Authorized official
• Ashton Jeanette Glenn, ARPN- CNP

  • Family Nurse Practitioner
  • Mountain View, AR
  • NPI 1861904377
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1073282513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E MAIN ST",
            "address_2": "PO BOX 312",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725600316",
            "telephone_number": "870-269-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E MAIN ST",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725600316",
            "telephone_number": "870-269-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR MADE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2024-08-05",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CALLIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-269-8700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Made Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Taylor Made Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anandaraj Subramanium, M.D.
• Jennifer M Sweet, LAC
• Ashley Rae Switzer
• Shelby Tableriou
• Cathy Jean Taurone, CADC
• Callie R Taylor, APRN, FNP-C
• Stacie Taylor
• Jalyn Tenorio
• The Waters of Mountain View, LLC
• Thrive Point Chiropractic PLLC

• Family Medicine Physician in Mountain View, AR
• Providers in Mountain View, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.