Laurel Key Taylor

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

Practice address

285 Glynn St S Ste 104
Fayetteville, GA 30214-2015

Phone

(678) 206-9891

NPI assigned

Dec 17, 2019

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

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1124666409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 GLYNN ST S",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142015",
            "telephone_number": "678-206-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 GLYNN ST S STE 104",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142015",
            "telephone_number": "678-206-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LAUREL",
        "middle_name": "KEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyneshea Marlene Tanner, PHARM.D.
• Tara a Fogle, D.M.D, P.C.
• Eric Tarver, RBT
• Davina Taylor, M. ED.
• Laura H Taylor, ATC
• Maurisha Taylor, PA
• Nia Renee Taylor, DMD
• Sandria Taylor
• Tammy Adams Taylor
• Tammy Rena Taylor

• Mastectomy Fitter in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Mastectomy Fitter in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.