Active NPI
Legacy Alianna Taylor
- Student in an Organized Health Care Education/Training Program
- San Antonio, TX
National Provider Identifier
1114896420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 44415
- Practice address
- 4100 S New Braunfels Ave
San Antonio, TX 78223-1718 - Phone
- (210) 531-3160
- NPI assigned
- Nov 4, 2025
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 44415 | TX | Primary |
Addresses
Primary practice location
4100 S New Braunfels Ave
San Antonio, TX 78223-1718
Mailing address
218 Tampico St Unit 2214
San Antonio, TX 78207-1554
Phone (956) 378-8171
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Current | Accepting new patients | |
| H-E-B, LP | Past | Accepting new patients |
Locations
4100 S New Braunfels Ave
San Antonio, TX 78223
Phone (210) 531-3160
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1114896420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 TAMPICO ST UNIT 2214",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782071554",
"telephone_number": "956-378-8171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 S NEW BRAUNFELS AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782231718",
"telephone_number": "210-531-3160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "LEGACY",
"middle_name": "ALIANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-04",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "44415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.