Taylor Marie Llewelyn, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

12144180-3102 Issued in UT

Practice address

339 E 3900 S Ste 155
Salt Lake City, UT 84107-1978

Phone

(801) 263-1056

NPI assigned

Jul 20, 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

Other names 1

• Taylor Marie Beavers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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

• De Novo Services LLC

  • Institutional Pharmacy
  • Salt Lake City, UT
  • NPI 1164794434
  NPD (past)

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1285314674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 E 3900 S STE 155",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841071978",
            "telephone_number": "801-236-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 E 3900 S STE 155",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841071978",
            "telephone_number": "801-263-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLEWELYN",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "UT",
            "license": "12144180-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "BEAVERS",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaiya Liwanag
• Tracy Gibbons Llanos
• Kade Llewellyn
• Ronnie James Llewelyn, PSY.D.
• Tallya Llewelyn, DNP
• Esther Llontop
• Amber Ann Lloyd, BC-HIS, ACA
• Ashley Grace Lloyd
• Asnica Ruth Lloyd
• Cherish E Lloyd, OTRL

• Case Management Registered Nurse in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Case Management Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.