Individual provider Active NPI

Taylor E Scott, DC

  • Chiropractor
  • Herrin, IL
National Provider Identifier
1366924599
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013260 Issued in IL
Practice address
3313 Patriot CT
Herrin, IL 62948-3782
Phone
(618) 993-9910
Fax
(618) 993-2774
NPI assigned
Sep 4, 2018
Last updated
Nov 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038013260 IL Primary

Addresses

Primary practice location

3313 Patriot CT
Herrin, IL 62948-3782

Mailing address

3313 Patriot CT
Herrin, IL 62948-3782
Phone (618) 993-9910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181002001798 IL Practitioner - Chiropractic 8820340813 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Health of Southern Illinois LTDGroup PAC ID 2365401122, 23 clinicians

Practice addresses (Care Compare)

310 W Plaza Dr
Cartersviille, IL 62918-1980
Phone (618) 985-4344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038013260ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville Chiropractic, LLC Chiropractor CurrentSince Nov 2, 2020 Accepting new patients
Integrated Health of Southern Illinois, LTD. Chiropractor CurrentSince May 23, 2022 Accepting new patients
Angela Baxter LLC Chiropractor CurrentSince Nov 13, 2018 Accepting new patients
Integrated Health of Southern Illinois Chiropractor CurrentSince May 23, 2022 Accepting new patients

Locations

310 W Plaza Dr
Carterville, IL 62918
Phone (618) 525-0719

303 S Commercial St
Ste 10
Harrisburg, IL 62946
Phone (618) 252-5555

3313 Patriot Ct
Herrin, IL 62948
Phone (618) 993-9910

140 S Mill St
Nashville, IL 62263
Phone (618) 327-2000

Interoperability endpoints

  • Direct secure messaging: taylor.scott.1@26231.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26231/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1366924599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 PATRIOT CT",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483782",
            "telephone_number": "618-993-9910",
            "fax_number": "618-993-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 PATRIOT CT",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483782",
            "telephone_number": "618-993-9910",
            "fax_number": "618-993-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "TAYLOR",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herrin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.