Taisa Shenez McElroy, CERTIFIED NURSE AIDE

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

0010093004 Issued in TX

Practice address

1500 N Saint Marys St Apt 303
San Antonio, TX 78215-1104

Phone

(210) 876-7795

NPI assigned

Jul 12, 2022

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1093449399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N SAINT MARYS ST APT 303",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151104",
            "telephone_number": "210-876-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N SAINT MARYS ST APT 303",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151104",
            "telephone_number": "210-876-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "TAISA",
        "middle_name": "SHENEZ",
        "credential": "CERTIFIED NURSE AIDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "TX",
            "license": "0010093004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corynne McEachern, DO
• Norma Ann McEachern, PTA
• Kristen Michelle McElroy, LPC, LCDC
• Kyndall Cheyenne McElroy
• Monique Deanne McElroy, PTA
• Kimberly K. McElvany, M.D.
• Chyna McElveen
• Elizabeth Rose McElwee, APRN-CNP
• Timothy Patrick McEvoy, M.D.
• Linda Marie McEwen, REGISTERED NURSE

• Community Health Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Community Health Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.