Individual provider Active NPI

Caralisa Taylor

  • Nurse's Aide
  • Atlanta, GA
National Provider Identifier
1447880869
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
CN0030002159 Issued in GA
Practice address
2158 Cumberland Pkwy SE Apt 7404
Atlanta, GA 30339-4565
Phone
(678) 644-4241
NPI assigned
Jan 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X CN0030002159 GA Primary

Addresses

Primary practice location

2158 Cumberland Pkwy SE Apt 7404
Atlanta, GA 30339-4565

Mailing address

3535 Peachtree Rd NE Ste 520-632
Atlanta, GA 30326-3287
Phone (678) 644-4241

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL individual Direct

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
CN0030002159GAMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1447880869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 PEACHTREE RD NE STE 520-632",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263287",
            "telephone_number": "678-644-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 CUMBERLAND PKWY SE APT 7404",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394565",
            "telephone_number": "678-644-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CARALISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "CN0030002159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "individual",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "individual",
            "address_1": "2158 Cumberland Pkwy SE Apt 7404",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303394565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.