Active NPI
Taylor Renea Carson, PA-C
- Physician Assistant
- Enid, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3032
- Practice address
- 5320 W Chestnut Ave
Enid, OK 73703-3563 - Phone
- (580) 701-0100
- NPI assigned
- Feb 15, 2019
- Last updated
- Jun 12, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3032 | OK | Primary |
Addresses
Primary practice location
5320 W Chestnut Ave
Enid, OK 73703-3563
Mailing address
405 S Oklahoma Ave
Cherokee, OK 73728-2545
Phone (580) 596-2800
Other practice location 1
405 S Oklahoma Ave
Cherokee, OK 73728-2545
Phone (580) 596-2800
Other practice location 2
231 S 30th St
Enid, OK 73701-6455
Phone (580) 233-2900
Other practice location 3
16603 W South Ave
Tonkawa, OK 74653-4707
Phone (580) 557-0069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1106 E Broadway Ave
Enid, OK 73701-4411
Phone (580) 596-2800
231 S 30TH St
Enid, OK 73701-6455
Phone (580) 596-2800
405 S Oklahoma Ave
Cherokee, OK 73728-2545
Phone (580) 596-2800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3032 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Salt Plains Health Center, Inc. | Current | Accepting new patients | |
| Great Salt Plains Health Center, Inc. | Current | Accepting new patients | |
| Integris Bass Baptist Health Center | Past | Accepting new patients | |
| Uhs of Oklahoma, LLC | Past | Accepting new patients |
Locations
310 E Walnut
Canton, OK 73724
Phone (580) 886-2200
405 S Oklahoma Ave
Cherokee, OK 73728
Phone 87724284756012
1106 E Broadway Ave
Enid, OK 73701
Phone (580) 886-2200
231 S 30th St
Enid, OK 73701
Phone (580) 215-7555
2615 E Randolph Ave
Enid, OK 73701
Phone (580) 234-3734
5320 W Chestnut Ave
Enid, OK 73703
Phone (580) 233-2900
619 N Front St
Medford, OK 73759
Phone (580) 395-3200
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Cherokee, OK
- NPI 1881876738
-
- Federally Qualified Health Center (FQHC)
- Enid, OK
- NPI 1699564476
-
dba Integris Health Enid Hospital
- General Acute Care Hospital
- Enid, OK
- NPI 1144236571
-
dba St. Mary's Regional Medical Center
- General Acute Care Hospital
- Enid, OK
- NPI 1417947466
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fairview Regional Medical Center
- Critical Access Hospital
- Fairview, OK
- NPI 1033153309
-
dba Integris Health Enid Hospital
- General Acute Care Hospital
- Enid, OK
- NPI 1144236571
-
dba St. Mary's Regional Medical Center
- General Acute Care Hospital
- Enid, OK
- NPI 1417947466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1619433547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 S OKLAHOMA AVE",
"city": "CHEROKEE",
"state": "OK",
"postal_code": "737282545",
"telephone_number": "580-596-2800",
"fax_number": "580-596-2805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5320 W CHESTNUT AVE",
"city": "ENID",
"state": "OK",
"postal_code": "737033563",
"telephone_number": "580-701-0100"
}
],
"practiceLocations": [
{
"address_1": "405 S Oklahoma Ave",
"address_purpose": "LOCATION",
"city": "Cherokee",
"state": "OK",
"postal_code": "737282545",
"country_code": "US",
"telephone_number": "580-596-2800",
"fax_number": "580-596-2805",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "231 S 30th St",
"address_purpose": "LOCATION",
"city": "Enid",
"state": "OK",
"postal_code": "737016455",
"country_code": "US",
"telephone_number": "580-233-2900",
"fax_number": "580-596-2805",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16603 W South Ave",
"address_purpose": "LOCATION",
"city": "Tonkawa",
"state": "OK",
"postal_code": "746534707",
"country_code": "US",
"telephone_number": "580-557-0069",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARSON",
"first_name": "TAYLOR",
"middle_name": "RENEA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-15",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "3032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.