Active NPI
Taylor Lee Andrews
- Foster Care Agency
- Buffalo, MN
National Provider Identifier
1578067344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- License
- 1092664-1-HCBS
- Practice address
- 777 Dague Ave NE
Buffalo, MN 55313-4214 - Phone
- (612) 600-2064
- Fax
- (763) 682-5277
- NPI assigned
- Mar 19, 2018
- Last updated
- Mar 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 1092664-1-HCBS | MN | |
| Respite Care | 385H00000X | 1092664-1-HCBS | MN | |
| Foster Care Agency | 253J00000X | 1092664-1-HCBS | MN | Primary |
Addresses
Primary practice location
777 Dague Ave NE
Buffalo, MN 55313-4214
Mailing address
777 Dague Ave NE
Buffalo, MN 55313-4214
Phone (612) 600-2064
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1092664-1-HCBS | MN | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521417600000",
"number": "1578067344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 DAGUE AVE NE",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553134214",
"telephone_number": "612-600-2064",
"fax_number": "763-682-5277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 DAGUE AVE NE",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553134214",
"telephone_number": "612-600-2064",
"fax_number": "763-682-5277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "TAYLOR",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-19",
"last_updated": "2018-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "MN",
"license": "1092664-1-HCBS",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "MN",
"license": "1092664-1-HCBS",
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "MN",
"license": "1092664-1-HCBS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.