Jacqueline Yvette Taylor, MA, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000603 Issued in MI

Practice address

501 S Drake Rd
Kalamazoo, MI 49009-3234

Phone

(269) 343-1296

Fax

(269) 344-8485

NPI assigned

Feb 6, 2012

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

Other names 1

• Jacqueline Yvette Claxton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1619249752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S DRAKE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093234",
            "telephone_number": "269-343-1296",
            "fax_number": "269-344-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S DRAKE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093234",
            "telephone_number": "269-343-1296",
            "fax_number": "269-344-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JACQUELINE",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "CLAXTON",
            "middle_name": "YVETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alissa Taylor, NP
• Anita Taylor, RN
• Bradley Charles Taylor, PHARM.D.
• Britney Taylor
• Elena Grace Taylor
• Jenna Taylor
• Kaitlynn Taylor, RN
• Marissa Jo Taylor
• Natasha Taylor
• Quynterra Taylor, LLBSW

• Audiologist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.