Individual provider Active NPI

Ervin Allstare Taylor

  • Case Manager/Care Coordinator
  • Reno, NV
National Provider Identifier
1558934547
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
850 Mill St Ste 100
Reno, NV 89502-1463
Phone
(775) 538-6700
Fax
(775) 688-5878
NPI assigned
Jul 19, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

850 Mill St Ste 100
Reno, NV 89502-1463

Mailing address

3312 W Charleston Blvd
Las Vegas, NV 89102-1829
Phone (702) 971-2300

Other practice location 1

315 Record St Ste 100
Reno, NV 89512-3327
Phone (775) 405-4111

Other practice location 2

5412 Boulder Hwy
Las Vegas, NV 89122-6039
Phone (702) 291-7121

Other practice location 3

3312 W Charleston Blvd
Las Vegas, NV 89102-1829
Phone (702) 971-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1558934547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021829",
            "telephone_number": "702-971-2300",
            "fax_number": "702-903-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MILL ST STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021463",
            "telephone_number": "775-538-6700",
            "fax_number": "775-688-5878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Record St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895123327",
            "country_code": "US",
            "telephone_number": "775-405-4111",
            "fax_number": "775-688-5878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5412 Boulder Hwy",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891226039",
            "country_code": "US",
            "telephone_number": "702-291-7121",
            "fax_number": "702-507-2534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3312 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021829",
            "country_code": "US",
            "telephone_number": "702-971-2300",
            "fax_number": "702-903-4447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ERVIN",
        "middle_name": "ALLSTARE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.