Individual provider Active NPI

Courtney Lashawn McNeil Taylor

  • Prosthetic/Orthotic Supplier
  • Fayetteville, NC
National Provider Identifier
1073406955
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Practice address
2001 Merrimac Dr
Fayetteville, NC 28304-2620
Phone
(330) 880-1569
NPI assigned
May 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NC Primary

Addresses

Primary practice location

2001 Merrimac Dr
Fayetteville, NC 28304-2620

Mailing address

100 Hay St Ste 704
Fayetteville, NC 28301-5665
Phone (330) 880-1569

Other practice location 1

245 Westlake Rd
Fayetteville, NC 28314-4865
Phone (910) 302-3094

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL beautymarkedcos@gmail.com Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1073406955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HAY ST STE 704",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015665",
            "telephone_number": "330-880-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MERRIMAC DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042620",
            "telephone_number": "330-880-1569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Westlake Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283144865",
            "country_code": "US",
            "telephone_number": "910-302-3094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEIL TAYLOR",
        "first_name": "COURTNEY",
        "middle_name": "LASHAWN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "beautymarkedcos@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 Hay St Ste 704",
            "city": "Fayetteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283015665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.