Active NPI
Ebony D Taylor
- Private Vehicle
- Bedford, OH
National Provider Identifier
1396568036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- GXQ7169
- Practice address
- 149 Palmetto Ave
Bedford, OH 44146-3225 - Phone
- (216) 280-6049
- NPI assigned
- Nov 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | GXQ7169 | OH | Primary |
Addresses
Primary practice location
149 Palmetto Ave
Bedford, OH 44146-3225
Mailing address
149 Palmetto Ave
Bedford, OH 44146-3225
Phone (216) 470-8781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GXQ7169 | OH | MD | Private Vehicle |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylored Care LLC | Private Vehicle | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1396568036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 PALMETTO AVE",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441463225",
"telephone_number": "216-470-8781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 PALMETTO AVE",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441463225",
"telephone_number": "216-280-6049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "EBONY",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-01",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "OH",
"license": "GXQ7169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.