Latara Vernell Taylor

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

172V000000X Issued in FL

Practice address

9608 Redwood Blvd
Tampa, FL 33635-5932

Phone

(813) 298-9662

NPI assigned

Dec 1, 2010

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1346542990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9608 REDWOOD BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336355932",
            "telephone_number": "813-298-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9608 REDWOOD BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336355932",
            "telephone_number": "813-298-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LATARA",
        "middle_name": "VERNELL",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "172V000000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "674745196",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "674745198",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kourtney Taylor
• Krista Bonica Taylor, ARNP
• Krystal Taylor
• Kyleigh Taylor
• Lakin Taylor
• Lindsay J Taylor, D.C.
• Loryn Jennifer Taylor, ARNP
• Mark Taylor
• Mary B. Taylor, LCSW
• Mary C Taylor

• Community Health Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.