Active NPI
Andrea Darlene Taylor
- Other Technician
- Southfield, MI
National Provider Identifier
1518316827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 25708 W 12 Mile Rd
Apt 301
Southfield, MI 48034-1875 - Phone
- (313) 550-1725
- NPI assigned
- Jun 7, 2016
- Last updated
- Jun 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
25708 W 12 Mile Rd
Apt 301
Southfield, MI 48034-1875
Mailing address
25708 W 12 Mile Rd
Apt 301
Southfield, MI 48034-1875
Phone (313) 550-1725
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1518316827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25708 W 12 MILE RD",
"address_2": "APT 301",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341875",
"telephone_number": "313-550-1725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25708 W 12 MILE RD",
"address_2": "APT 301",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341875",
"telephone_number": "313-550-1725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ANDREA",
"middle_name": "DARLENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-07",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
- Viviane Nicole Tawile, LMSW
- Tayler Taylor LLC (Balancing Life with Therapy)
- Taylor Diagnostic Imaging Inc (Diagnostics Imaging Inc)
- Taylor Special Care Services
- Shauna Taylor-Drake
- Hunter Nicholas Taylor
- Jacqueline Michele Taylor, LLMSW
- Jamila Nuru Taylor, MD
- Judith Lauren Taylor
- Lashawn Ann Taylor, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.