Charra Vanae Taylor

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Practice address

8888 Seville St
Pahokee, FL 33476-1609

Phone

(352) 396-4325

NPI assigned

Mar 27, 2017

Last updated

Mar 23, 2021By 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bridging Waters Together - the Academy for Unique Creatives, Inc

  • Developmental Disabilities Clinic/Center
  • Miami Gardens, FL
  • NPI 1730055443
  NPD Authorized official
• Bridging Waters Together, LLC

  dba Bridging Waters Pca & Transportation Services

  • Nursing Care Agency
  • Miramar, FL
  • NPI 1114458577
  NPD Authorized official

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1215468558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8888 SEVILLE ST",
            "city": "PAHOKEE",
            "state": "FL",
            "postal_code": "334761609",
            "telephone_number": "352-396-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8888 SEVILLE ST",
            "city": "PAHOKEE",
            "state": "FL",
            "postal_code": "334761609",
            "telephone_number": "352-396-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHARRA",
        "middle_name": "VANAE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shekinah Family Medical Centers LLC
• Tevonsheye Sims
• Small Steps Big Smiles Early Interventions Services Corp
• South Florida Medical Professionals LLC
• Marshae Stallworth, SLP
• Wellness Transportation LLC
• Philnecia Brenjae Whitfield
• Alkeria Dejanae Wimberly

• Developmental Disabilities Clinic/Center in Pahokee, FL
• Providers in Pahokee, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.