Pam Taylor

Key facts

NPI

1497280762

Entity type

Individual (NPI type 1)

Primary specialty

Licensed Practical Nurse 164W00000X

License

LPN.110165.MEDS-IV (OH)

Practice address

3339 Arlene Ave
Dayton, OH 45406

Phone

(937) 529-6635

NPI assigned

Apr 25, 2017

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 25, 2017.

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1497280762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3339 ARLENE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061308",
            "telephone_number": "937-529-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3339 ARLENE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45406",
            "telephone_number": "937-529-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "PAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.110165.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

• Madeleine Taylor
• Megan Lane Taylor, APRN-CNP
• Melissa D Taylor, RN
• Nathan Taylor
• Nedra Taylor
• Patricia Ann Taylor, APRN
• Sandra K Taylor, LPN
• Sarah Taylor
• Seth L Taylor, QMHS/CMS
• Shaina Taylor

All providers in Dayton, OH · Licensed Practical Nurse in Ohio