Active NPI
Raven S Taylor, MD
- Behavior Analyst
- Brownsville, TN
National Provider Identifier
1255948477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 119946379
- Practice address
- 1124 Hatchie St
Brownsville, TN 38012-3427 - Phone
- (731) 432-1327
- NPI assigned
- Sep 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 119946379 | TN | Primary |
Addresses
Primary practice location
1124 Hatchie St
Brownsville, TN 38012-3427
Mailing address
1124 Hatchie St
Brownsville, TN 38012-3427
Phone (731) 432-1327
Other names 1
- John Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119946379 | TN | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1255948477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 HATCHIE ST",
"city": "BROWNSVILLE",
"state": "TN",
"postal_code": "380123427",
"telephone_number": "731-432-1327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 HATCHIE ST",
"city": "BROWNSVILLE",
"state": "TN",
"postal_code": "380123427",
"telephone_number": "731-432-1327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "RAVEN",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-30",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "119946379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "JOHNSON",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brownsville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.