Active NPI
Jessica Lee Taylor, DC
- Chiropractor
- Baltimore, MD
National Provider Identifier
1083993737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 03671
- Practice address
- 2131 Maryland Ave
Baltimore, MD 21218-5614 - Phone
- (410) 234-1600
- Fax
- (410) 727-4148
- NPI assigned
- Aug 12, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 03671 | MD | Primary |
Addresses
Primary practice location
2131 Maryland Ave
Baltimore, MD 21218-5614
Mailing address
4210 Else Terrace
Baltimore, MD 21211
Phone (410) 235-1812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111017000659 | MD | Practitioner - Chiropractic | 6305018367 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432252800000",
"number": "1083993737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4210 ELSE TERRACE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21211",
"telephone_number": "410-235-1812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 MARYLAND AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212185614",
"telephone_number": "410-234-1600",
"fax_number": "410-727-4148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JESSICA",
"middle_name": "LEE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-12",
"last_updated": "2015-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "03671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.