Conchetta Taylor

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

349515 Issued in TX

Practice address

305 Ironosa St
San Augustine, TX 75972-1721

Phone

(936) 201-9869

NPI assigned

Aug 2, 2019

Last updated

Aug 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1538714985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 IRONOSA ST",
            "city": "SAN AUGUSTINE",
            "state": "TX",
            "postal_code": "759721721",
            "telephone_number": "936-201-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 IRONOSA ST",
            "city": "SAN AUGUSTINE",
            "state": "TX",
            "postal_code": "759721721",
            "telephone_number": "936-201-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CONCHETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "349515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malaika Ilene Sigler, LVN
• SNG - San Augustine Dialysis Center LP
• Jeffrey Emery Sterling, MD
• Rebecca Lynn Stewart, LVN
• Summit LTC San Augustine, LLC (Summit Nursing & Rehab of San Augustine)
• Texas Quick Care, LLC
• The Loving Way Transportation LLC
• Trinity Nursing and Rehabilitation, LP
• Trinity R&R I LP (Trinity Rehabilitation and Retirement Community of San Augustine)
• Christina Watson, NP

• Licensed Practical Nurse in San Augustine, TX
• Providers in San Augustine, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.