Individual provider Active NPI

Quayshawn Deonte Taylor

  • Social Worker
  • Wichita, KS
National Provider Identifier
1649908633
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
12720-T Issued in KS
Practice address
6611 E Central Ave Ste C
Wichita, KS 67206-1937
Phone
(316) 210-5607
NPI assigned
Aug 9, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 12720-T KS Primary

Addresses

Primary practice location

6611 E Central Ave Ste C
Wichita, KS 67206-1937

Mailing address

6714 E 10TH St N
Wichita, KS 67206-1328
Phone (316) 210-5607

Other practice location 1

6714 E 10th St N
Wichita, KS 67206-1328
Phone (316) 210-5607

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

LicenseStateTypeSpecialty
12720-TKSMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1649908633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6714 E 10TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061328",
            "telephone_number": "316-210-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 E CENTRAL AVE STE C",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061937",
            "telephone_number": "316-210-5607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6714 E 10th St N",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672061328",
            "country_code": "US",
            "telephone_number": "316-210-5607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "QUAYSHAWN",
        "middle_name": "DEONTE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "12720-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.