Active NPI
Quayshawn Deonte Taylor
- Social Worker
- Wichita, KS
National Provider Identifier
1649908633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12720-T
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12720-T | KS | MD | Social 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.