Taylor Marie Chastain, B.S., B.A.

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

504 S Park St # 1
Kalamazoo, MI 49007-5118

Phone

(269) 317-8744

NPI assigned

Nov 10, 2013

Last updated

Nov 10, 2013By the provider in NPPES

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

Credentials

Bachelor of Arts, Bachelor of Science

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

{
    "created_epoch": "1384041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384041600000",
    "number": "1124457197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S PARK ST # 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075118",
            "telephone_number": "269-317-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S PARK ST # 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075118",
            "telephone_number": "269-317-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASTAIN",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "credential": "B.S., B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-10",
        "last_updated": "2013-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Charbonneau
• Tracy Charleston-Blakes
• Diana Charnley, PHD, LPC, NCC
• Sarah Elaine Charters, M.D.
• Madison Chase
• Robert Joseph Chatel, BA
• Bridgette Chatman
• Alessandra Chatson, DNP
• Geoffrey Chau, D.C.
• Quratulain Chaudhry, M.D

• Contractor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Contractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2013; 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.