Active NPI
Roslyn Taggart
- Driver
- Dixon, CA
National Provider Identifier
1417645813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- A1524373
- Practice address
- 241 W a St
Dixon, CA 95620-3448 - Phone
- (707) 722-2811
- NPI assigned
- Apr 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 3747P1801X | |||
| Driver | 172A00000X | A1524373 | CA | Primary |
| Day Training/Habilitation Specialist | 373H00000X | |||
| Adult Companion | 372600000X |
Addresses
Primary practice location
241 W a St
Dixon, CA 95620-3448
Mailing address
4820 Business Center Dr Ste 110
Fairfield, CA 94534-1907
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 |
|---|---|---|---|
| A1524373 | CA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B811 Medical Transportation Service | Current | Accepting new patients | |
| Beverly 811, LLC | Current | Accepting new patients |
Locations
241 W A St
Dixon, CA 95620
Phone (707) 722-2811
4820 Business Center Dr
Ste 110
Fairfield, CA 94534
Phone (707) 703-5075
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.
-
- Non-emergency Medical Transport (VAN)
- Dixon, CA
- NPI 1902515273
-
- In Home Supportive Care Agency
- Dixon, CA
- NPI 1861128928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707004800000",
"number": "1417645813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4820 BUSINESS CENTER DR STE 110",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945341907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 W A ST",
"city": "DIXON",
"state": "CA",
"postal_code": "956203448",
"telephone_number": "707-722-2811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGGART",
"first_name": "ROSLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-25",
"last_updated": "2024-02-04",
"certification_date": "2024-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "A1524373",
"primary": true
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dixon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.