Individual provider Active NPI

Beth Ann Taylor, CST, SA

  • Surgical Technologist
  • Fredericksburg, VA
National Provider Identifier
1407185200
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
111627 Issued in VA
Practice address
195 Falcon Dr
Fredericksburg, VA 22408-1930
Phone
(540) 371-2724
Fax
(540) 735-0266
NPI assigned
Dec 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 111627 VA Primary

Addresses

Primary practice location

195 Falcon Dr
Fredericksburg, VA 22408-1930

Mailing address

195 Falcon Dr
Fredericksburg, VA 22408-1930
Phone (540) 371-2724

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

LicenseStateTypeSpecialty
111627VAMDSurgical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rappahannock Foot & Ankle Specialist Past Accepting new patients
Rappahannock Foot & Ankle Specialists, PLC PastSince Apr 1, 2000 Accepting new patients

Organizations & group practices 2

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": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1407185200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 FALCON DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081930",
            "telephone_number": "540-371-2724",
            "fax_number": "540-735-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FALCON DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081930",
            "telephone_number": "540-371-2724",
            "fax_number": "540-735-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CST, SA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "VA",
            "license": "111627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.