Caroline Duncan Taylor, MA, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0825 Issued in NC

Practice address

4895 Fayetteville Rd
Lumberton, NC 28358-2162

Phone

(910) 738-4554

NPI assigned

Mar 8, 2014

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southeastern Regional Medical Center

  • General Acute Care Hospital
  • Lumberton, NC
  • NPI 1356543383
  NPD (past)

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

{
    "created_epoch": "1394236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394236800000",
    "number": "1083030555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6018 NC 131 HWY",
            "city": "BLADENBORO",
            "state": "NC",
            "postal_code": "283207962",
            "telephone_number": "910-874-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 FAYETTEVILLE RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582162",
            "telephone_number": "910-738-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CAROLINE",
        "middle_name": "DUNCAN",
        "name_prefix": "Mrs.",
        "credential": "MA, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-08",
        "last_updated": "2014-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "0825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superior Support Services LLC
• T 3 Fidelity Management, Inc.
• Michael David Tada Jr., DO
• Gina Tadros, MD
• Doris Blondelle Takwe, MD
• Dana E. Taylor, WHNP-BC, CNM
• Deanna D Taylor, CRNA
• Edward Scott Taylor, NP
• Jennifer Hunnicutt Taylor, PA-C
• Renae Owens Taylor, RN, BSN, MSN, FNP-C

• Athletic Trainer in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.