Deja Taylor

Primary specialty

Religious Nonmedical PractitionerTaxonomy code 374K00000X

Practice address

4068 Gallatin Dr
Obetz, OH 43207-4391

Phone

(631) 633-1524

NPI assigned

Apr 30, 2021

Last updated

Apr 30, 2021By 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 2

Addresses

Electronic endpoints 1

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": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1568045169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 RIFLE DR",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109061",
            "telephone_number": "614-323-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4068 GALLATIN DR",
            "city": "OBETZ",
            "state": "OH",
            "postal_code": "432074391",
            "telephone_number": "631-633-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DEJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "OBETZ",
            "affiliation": "N",
            "endpointDescription": "Laniece's, LLC location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fax",
            "address_1": "4068 Gallatin Dr",
            "city": "Obetz",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432074391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Olufemi Ogunlana I, SOLE PROPRIETOR
• Samson Nwabueze Omeh
• Resources One to Another, LLC
• Charity Ruh, RN
• Donna Eugenia Sawyer
• James Troy Thompson, D.O.
• Laniece E Ware, HHP
• Dominic Wilson
• Dorian L Wingard, MPA

• Religious Nonmedical Practitioner in Obetz, OH
• Providers in Obetz, OH by specialty
• Religious Nonmedical Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.