Taylor Charles Stevens, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

131 Darmondale Dr
Moore, SC 29369-8821

Phone

(864) 529-8388

NPI assigned

Jul 27, 2016

Last updated

Jul 27, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1548713340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 DARMONDALE DR",
            "city": "MOORE",
            "state": "SC",
            "postal_code": "293698821",
            "telephone_number": "864-529-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 DARMONDALE DR",
            "city": "MOORE",
            "state": "SC",
            "postal_code": "293698821",
            "telephone_number": "864-529-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "TAYLOR",
        "middle_name": "CHARLES",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Rundle
• Clarence Eugene Schiltz III, RPH, PHARMD, MSCR
• Thelma Sharp
• South Carolina CVS Pharmacy, L.L.C. (CVS Pharmacy #07061)
• Steven P Brown Lisw P.a. (Behavioral Counseling of SC)
• Derek Edward Stewart, LMSW
• Jessica Marie Still, FNP-C
• Eric J Strauss, PHARMD
• Carlie Arthur Testerman, APRN / C.R.N.A.
• Ann Trapp

• Athletic Trainer in Moore, SC
• Providers in Moore, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.