Individual provider Active NPI

Roslyn Taggart

  • Driver
  • Dixon, CA
National Provider Identifier
1417645813
Registry record updated Feb 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
A1524373 Issued in CA
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

Updated by the provider on Feb 4, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
A1524373CAMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
B811 Medical Transportation Service CurrentSince Feb 11, 2024 Accepting new patients
Beverly 811, LLC CurrentSince Feb 11, 2024 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.

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.

Verify at the official NPI Registry.