Active NPI
La Tonya Renee Taylor, CNA1
- Nurse's Aide
- Kernersville, NC
National Provider Identifier
1588866560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 55183
- Practice address
- 125 Pegg Ave
Kernersville, NC 27284-2433 - Phone
- (336) 995-7816
- Fax
- (336) 996-2594
- NPI assigned
- Jun 3, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 55183 | NC | Primary |
Addresses
Primary practice location
125 Pegg Ave
Kernersville, NC 27284-2433
Mailing address
125 Pegg Ave
Kernersville, NC 27284-2433
Phone (336) 995-7816
Other names 1
- Ms. La Tonya Renee Taylor
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 |
|---|---|---|---|
| 55183 | NC | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588866560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 PEGG AVE",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272842433",
"telephone_number": "336-995-7816",
"fax_number": "336-996-2594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 PEGG AVE",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272842433",
"telephone_number": "336-995-7816",
"fax_number": "336-996-2594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "LA TONYA",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "CNA1",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NC",
"license": "55183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LA TONYA",
"last_name": "TAYLOR",
"middle_name": "RENEE",
"prefix": "MS.",
"credential": "CNA2",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kernersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.