Nickea M Taylor

Primary specialty

Chore ProviderTaxonomy code 372500000X

License

501115040506 Issued in OH

Practice address

1464 Mulberry LN
Avon, OH 44011-4032

Phone

(440) 444-8349

NPI assigned

May 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622332800000",
    "number": "1518533637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 MULBERRY LN",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440114032",
            "telephone_number": "440-444-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 MULBERRY LN",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440114032",
            "telephone_number": "440-444-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "NICKEA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-30",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "501115040506",
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "OH",
            "license": "501115040506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0307236",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE SOURCE",
            "identifier": "CS1928100128",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• T3 Holdings LLC (T3 Performance)
• Jessica Talbott
• Annie R Tan, M..D.
• Samantha Lynn Tarcy, PHARMD.
• Alicia Taylor, RN
• Megan Kathleen Teets
• Kristen Marie Teper-Lacrosse, P.T.
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation

• Chore Provider in Avon, OH
• Providers in Avon, OH by specialty
• Chore Provider in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2021; 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.