Individual provider Active NPI

Taylor McAllister, PA-C

  • Physician Assistant
  • Burley, ID
National Provider Identifier
1477902161
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-1382 Issued in ID
Practice address
1309 Bennett Ave
Burley, ID 83318-2676
Phone
(208) 678-7796
Fax
(208) 678-7799
NPI assigned
Jun 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-1382 ID Primary

Addresses

Primary practice location

1309 Bennett Ave
Burley, ID 83318-2676

Mailing address

794 Eastland Dr
Twin Falls, ID 83301-6856
Phone (208) 737-6718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160907000474 ID Practitioner - Physician Assistant 9436445145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Services CorporationGroup PAC ID 7012815038, 48 clinicians

Practice addresses (Care Compare)

1308 Bennett Ave
Burley, ID 83318-2665
Phone (208) 678-7796

1309 Bennett Ave
Burley, ID 83318-2676
Phone (208) 678-7796

Hospital & facility affiliations

  • Cassia Regional Hospital Hospital, Burley, ID, CCN 131326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Services Corporation CurrentSince Sep 15, 2016 Accepting new patients
Family Health Services Corporation Current Accepting new patients
Family Health Services Corporation Physician Assistant Current Accepting new patients
Family Health Services Corporation CurrentSince Sep 15, 2016 Accepting new patients
Family Health Services Corporation Physician Assistant Current Accepting new patients
Family Health Services Corporation Physician Assistant Past Accepting new patients
Family Health Services Corporation Physician Assistant Past Accepting new patients
Family Health Services Corporation Physician Assistant Past Accepting new patients
Family Health Services Corporation Physician Assistant Past Accepting new patients
Family Health Services Corporation Past Accepting new patients
Family Health Services Corporation Physician Assistant Past Accepting new patients
Family Health Services Corporation Past Accepting new patients
Family Health Services Corporation Physician Assistant Past Accepting new patients
Family Health Services Corporation Physician Assistant Past Accepting new patients

Locations

621 N Main St
Bellevue, ID 83313
Phone (208) 725-3145

725 Fair St
Buhl, ID 83316
Phone (208) 543-8271

1309 Bennett Ave
Burley, ID 83318
Phone (208) 677-5198

114 Pioneer Ct
Jerome, ID 83338
Phone (208) 324-3471

218 W Nez Perce
Jerome, ID 83338
Phone (208) 324-3471

402 6th St
Rupert, ID 83350
Phone (208) 650-7941

651 S Beverly St
Shoshone, ID 83352
Phone (208) 886-2224

325 Martin St
Twin Falls, ID 83301
Phone (208) 732-7101

388 Martin St
Twin Falls, ID 83301
Phone (208) 734-0451

794 Eastland Dr
Twin Falls, ID 83301
Phone (208) 734-3312

Interoperability endpoints

  • Direct secure messaging: taylor.mcallister.p1@direct.fhsid.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1477902161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 EASTLAND DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016856",
            "telephone_number": "208-737-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 BENNETT AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182676",
            "telephone_number": "208-678-7796",
            "fax_number": "208-678-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "TAYLOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-03",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-1382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burley, ID

Sources for this page

Verify at the official NPI Registry.