Deidra Kiomoni Taylor-Cubias

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

2121 E Flamingo Rd Ste 108
Las Vegas, NV 89119-5123

Phone

(702) 405-6106

NPI assigned

Aug 17, 2023

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

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1265215669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2663 S DECATUR BLVD APT 1079",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028538",
            "telephone_number": "708-227-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E FLAMINGO RD STE 108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195123",
            "telephone_number": "702-405-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-CUBIAS",
        "first_name": "DEIDRA",
        "middle_name": "KIOMONI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayen Brian Bueno Taylo
• Taylor Made Medical Group LLC
• Taylor NP Solutions LLC
• Shonell Taylor-Abdullah
• Rhonyea Taylor-Craig
• De Marco Taylor-Freeman
• Alexandra Lizeth Taylor-Lopez
• Abby Luv Taylor-Lorenzo
• Bonnie Taylor-Oneal
• Alex Taylor

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

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