Organization Active NPI

Taylor Mobile Med

  • General Practice Physician
  • Port Richey, FL
National Provider Identifier
1548770118
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME110686 Issued in FL
Legal business name
TAYLOR MOBILE MED
Practice address
8647 Betty St
Port Richey, FL 34668-6044
Phone
(941) 777-5159
Fax
(833) 688-7731
NPI assigned
Oct 9, 2017
Last updated
Oct 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Lindy Allison TaylorNPI 1962482117
Title
Owner
Phone
(941) 777-5159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME110686 FL Primary

Addresses

Primary practice location

8647 Betty St
Port Richey, FL 34668-6044

Mailing address

8647 Betty St
Port Richey, FL 34668-6044
Phone (941) 777-5159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180913002294 FL Part B Supplier - Clinic/Group Practice 0547510489 Receives reassigned benefits from 1 practitioner
Practice locations: Port Richey, FL

National Provider Directory

National Provider Directory

Locations

1904 Manatee Ave W
Ste 200
Bradenton, FL 34205
Phone (941) 747-8916

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1548770118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8647 BETTY ST",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686044",
            "telephone_number": "941-777-5159",
            "fax_number": "278-076-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8647 BETTY ST",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686044",
            "telephone_number": "941-777-5159",
            "fax_number": "833-688-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR MOBILE MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-09",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LINDY",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-777-5159"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME110686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.