Kimberly D. Taylor, MACCC/A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

209 Issued in TN

Practice address

5959 Shallowford Rd
Suite 211
Chattanooga, TN 37421-2285

Phone

(423) 648-4327

NPI assigned

Sep 2, 2006

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 3

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386746014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 SHALLOWFORD RD",
            "address_2": "SUITE 211",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212285",
            "telephone_number": "423-648-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 SHALLOWFORD RD",
            "address_2": "SUITE 211",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212285",
            "telephone_number": "423-648-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KIMBERLY",
        "middle_name": "D.",
        "credential": "MACCC/A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECARE",
            "identifier": "4077538",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "4077538",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE SELECT",
            "identifier": "4077538",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Etta Taylor, CRNA
• Jakob Taylor, D.C.
• Janice M. Taylor, P.A.
• Jessica Noel Taylor, D.C.
• Kaden Taylor, DO
• Kimberly Donyale Taylor, FNP-C
• Mackenzie Taylor, DO
• Monica Taylor
• Monica R. Taylor
• Samantha Grace Taylor, FNP-C

• Audiologist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Audiologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.