Individual provider Active NPI

Eyvonnia McCrary-Taylor

  • Occupational Therapist
  • North Richland Hills, TX
National Provider Identifier
1598934945
Registry record updated Sep 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
104260 Issued in TX
Practice address
6150 Glenview Dr
North Richland Hills, TX 76180-9263
Phone
(801) 942-3311
Fax
(801) 495-5303
NPI assigned
Feb 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0390 NV
Occupational Therapist 225X00000X 104260 TX Primary

Addresses

Primary practice location

6150 Glenview Dr
North Richland Hills, TX 76180-9263

Mailing address

6150 Glenview Dr
North Richland Hills, TX 76180-9263
Phone (702) 277-3402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191108000626 TX Practitioner - Occupational Therapist in Private Practice 9133551328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 Mashburn St
Suite 102
Hawkinsville, GA 31036-4961

521 Paradise CV
Shady Shores, TX 76208-5139

Merit-based Incentive Payment System (MIPS)

Final score
89.4 of 100Reported as group
Quality
77.91
Promoting interoperability
100
Improvement activities
40
Cost
86.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0390NVMDOptometrist
104260TXMDOccupational Therapist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569110400000",
    "number": "1598934945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 GLENVIEW DR",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761809263",
            "telephone_number": "702-277-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 GLENVIEW DR",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761809263",
            "telephone_number": "801-942-3311",
            "fax_number": "801-495-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRARY-TAYLOR",
        "first_name": "EYVONNIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2019-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "0390",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "104260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.