Taylor Kucharski

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

57150 County Road 681
Hartford, MI 49057-9400

Phone

(269) 621-2800

NPI assigned

Aug 15, 2023

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": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1184407033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57150 COUNTY ROAD 681",
            "city": "HARTFORD",
            "state": "MI",
            "postal_code": "490579400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57150 COUNTY ROAD 681",
            "city": "HARTFORD",
            "state": "MI",
            "postal_code": "490579400",
            "telephone_number": "269-621-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Hazen St",
            "address_purpose": "LOCATION",
            "city": "Paw Paw",
            "state": "MI",
            "postal_code": "490792008",
            "country_code": "US",
            "telephone_number": "269-657-5574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUCHARSKI",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holy Family Healthcare
• Douglas Scott Johansen, DDS
• Lisa Johnson, RDH
• Peter John Koshar Jr., LMSW
• Steven Jay Koster, COUNSELRO EDUC LTD
• Lakeland Community Hospital Watervliet (Corewell Health Watervliet Hospital Primary Care - Hartford)
• Samie Ledyard, LLPC, MA
• Edward William Liebenthal, D.D.S.
• Sue Eileen Liebenthal, D.D.S.
• Laura M Long

• Community Health Worker in Hartford, MI
• Providers in Hartford, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.