Preston Kyle Taylor, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP123712 Issued in TX

Practice address

1305 Wonder World Dr
Suite 105
San Marcos, TX 78666-7546

Phone

(512) 353-8161

Fax

(512) 353-8255

NPI assigned

Jan 14, 2010

Last updated

Oct 3, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Endo Sedation LLCGroup PAC ID 4789845363, 289 clinicians

Psa Anesthesia PLLCGroup PAC ID 2466618673, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Endo Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Keller, TX
  • NPI 1588931174

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Psa Anesthesia PLLC

  dba MedStar Anesthesia

  • Anesthesiology Physician
  • Austin, TX
  • NPI 1477828028
  Medicare reassignment Care Compare group NPD
• Austin Anesthesiology Group, PLLC

  • Anesthesiology Physician
  • Austin, TX
  • NPI 1598724304

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Trident Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
  • NPI 1699218149

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Youngs Professional Services LLC

  dba YPS Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
  • NPI 1922178599

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment NPD
• Austin Anesthesiology Group PLLC

  • Anesthesiology Physician
  • Bryan, TX
  • NPI 1528326154
  NPD
• Endo Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Flower Mound, TX
  • NPI 1114270931

  Nurse Anesthetist, Certified Registered

  NPD
• Endo Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Beaumont, TX
  • NPI 1548817471

  Nurse Anesthetist, Certified Registered

  NPD
• Psa Ambulatory Surgical Center of South Austin, LLC

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1770223901
  NPD
• Psa Ambulatory Surgical Center of Austin LLC

  dba The Pain Relief SurgiCenter

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1659594190
  NPD (past)

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1366773301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 OASIS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787492713",
            "telephone_number": "202-321-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WONDER WORLD DR",
            "address_2": "SUITE 105",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667546",
            "telephone_number": "512-353-8161",
            "fax_number": "512-353-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "PRESTON",
        "middle_name": "KYLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-14",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "724467",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP123712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tangram Rehabilitation Network, Inc. (Rehab Without Walls Neuro Rehabilitation)
• Tangram Rehabilitation Network, Inc. (Hutchison Place South)
• Jocelyn Tatarian, PA
• Anne T Taylor, LPC
• Diamond S Taylor
• Teague Legacy Holdings (Proof Point Solutions)
• Alain Tekeu
• Lindsay Templer, LPC
• Lisa Conner Terry, HIS, LIC#1424
• Texan Eye, P.a.

• Certified Registered Nurse Anesthetist in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.