Andrea Brooke Taylor

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1400 SE 4TH St Ste a
Moore, OK 73160-7328

Phone

(405) 837-1033

NPI assigned

May 30, 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

Other names 1

• Andrea Brooke Lozano Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Moore Family Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Moore, OK
  • NPI 1821508763
  NPD

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1316630924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 N BLUE LAKE DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730698058",
            "telephone_number": "405-496-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SE 4TH ST STE A",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731607328",
            "telephone_number": "405-837-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANDREA",
        "middle_name": "BROOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "LOZANO",
            "middle_name": "BROOKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tonya Lynn Sutherby
• Heesook Sutter
• Joshua Swann
• Michelle Tahah, PHARM.D.
• William Earl Tankersley IV, MD
• Harry B. Taylor, PA-C
• Hayli Taylor
• Karyn Taylor, ARNP
• Mary Elizabeth Taylor, LPC
• Tommi Ciera Taylor

• Case Manager/Care Coordinator in Moore, OK
• Providers in Moore, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.