Jeremy Taylor, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

3833 Stone Ridge Dr
Traverse City, MI 49684-7219

Phone

(231) 590-0765

NPI assigned

Mar 10, 2016

Last updated

Mar 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jake Taylor Other name

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": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1205297801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 STONE RIDGE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847219",
            "telephone_number": "231-590-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 STONE RIDGE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847219",
            "telephone_number": "231-590-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JEREMY",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "TAYLOR",
            "credential": "ATC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel Scott Tanis Jr., PTA
• Justin Tannir, MD
• Leah Ann Tatasciore, RN PHCNS-BC CBIS
• Tawfiq Alkilani DDS PLLC (Aspen Dental)
• Anne P Taylor, M.D.
• Nathan A Taylor
• Shelley Ann Taylor, MA, LLP
• John Gabriel Tazzi, PA
• TC Chiropractic PC
• TC Mental Health, LLC

• Athletic Trainer in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.