Lauren Crystann Taylor, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA1684 Issued in NV

Practice address

6592 N Decatur Blvd
Unit 115
Las Vegas, NV 89131-1037

Phone

(702) 496-3392

NPI assigned

Dec 13, 2015

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1449964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449964800000",
    "number": "1588039739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 SOLVANG MILL DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351413",
            "telephone_number": "847-668-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6592 N DECATUR BLVD",
            "address_2": "UNIT 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891311037",
            "telephone_number": "702-496-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LAUREN",
        "middle_name": "CRYSTANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-13",
        "last_updated": "2015-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Robert Taylor
• Lachoy Taylor
• Lafayette Taylor
• Lamont Taylor
• Latorrean Taylor
• Lesley Michelle Taylor
• Lillian Taylor
• Linda W Taylor
• Lois Marie Taylor
• Lucenda Taylor

• Medical Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Medical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2015; 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.