Taylor Morgan Christie, PA-C, RDN, IFMCP

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-917 Issued in AR

Practice address

114 SE H St Apt 203
Bentonville, AR 72712-2717

Phone

(918) 521-4140

NPI assigned

Jan 6, 2015

Last updated

Oct 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 13, 2024 through Aug 13, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1427446087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 SE H ST APT 203",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727122717",
            "telephone_number": "918-521-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SE H ST APT 203",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727122717",
            "telephone_number": "918-521-4140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5001 Byers Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761073625",
            "country_code": "US",
            "telephone_number": "918-521-4140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 SE Plaza Ave",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "72712",
            "country_code": "US",
            "telephone_number": "479-715-4645",
            "fax_number": "479-250-1339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "TAYLOR",
        "middle_name": "MORGAN",
        "credential": "PA-C, RDN, IFMCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14367",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAILORED PERSONALIZED NUTRITION LLC",
            "identifier": "474071019",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "taylormorganrdn@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "700 SE Plaza Ave",
            "city": "Bentonville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "72712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "taylormorganrdn@gmail.com",
            "affiliation": "N",
            "address_1": "5001 Byers Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761073625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eva Charles
• Sara Chastain
• Carol A Chinn, AUD
• Payam Chitsazan
• Pamela J Chrisco, APN
• Sunshine Christman, MHPP
• Anthony Christopher
• Grace Ann Church, M.S., CCC-SLP
• City of Bentonville (Bentonville Ambulance)
• Amber Clark, LPC

• Physician Assistant in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.