Individual provider Active NPI

Lauren Ashley Taylor, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1538894449
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17314 Issued in TX
Practice address
18518 Hardy Oak Blvd Ste 300
San Antonio, TX 78258-4762
Phone
(210) 696-4327
NPI assigned
Jul 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA17314 TX Primary

Addresses

Primary practice location

18518 Hardy Oak Blvd Ste 300
San Antonio, TX 78258-4762

Mailing address

18518 Hardy Oak Blvd Ste 300
San Antonio, TX 78258-4762
Phone (210) 696-4327

Other practice location 1

333 Murfreesboro Pike
Nashville, TN 37210-2877
Phone (615) 248-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240313000888 TX Practitioner - Physician Assistant 2264878255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Institute of Texas P aGroup PAC ID 5991800310, 12 clinicians

Practice addresses (Care Compare)

18518 Hardy Oak Blvd
Suite 300
San Antonio, TX 78258-4762
Phone (210) 363-6936

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trevecca Nazarene University PastSince Jul 1, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1538894449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18518 HARDY OAK BLVD STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584762",
            "telephone_number": "210-696-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18518 HARDY OAK BLVD STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584762",
            "telephone_number": "210-696-4327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Murfreesboro Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372102877",
            "country_code": "US",
            "telephone_number": "615-248-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-24",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.