Jeremy Lloyd-Taitano, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RX-0676 Issued in GU

Practice address

790 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3129

Phone

(671) 647-1901

NPI assigned

Aug 18, 2021

Last updated

Aug 18, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Government of Guam Department of Administration

  dba Guam Behavioral Health and Wellness Center

  • Community/Behavioral Health Agency
  • Tamuning, GU
  • NPI 1619928264
  NPD

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1649946773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2921",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "969322921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 GOV CARLOS G CAMACHO RD",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133129",
            "telephone_number": "671-647-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOYD-TAITANO",
        "first_name": "JEREMY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "GU",
            "license": "RX-0676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "connect.guam.gov",
            "affiliation": "N",
            "endpointDescription": "work outlook",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "790 Gov Carlos G Camacho Rd",
            "city": "Tamuning",
            "state": "GU",
            "country_code": "US",
            "postal_code": "969133129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yun Ming Lin
• Donabel Algodon Little, MPH, NDTR, CDM-CFPP
• Live Well Home Care of Guam LLC
• Florencio Tudela Lizama, M.D.
• Vincent Victor Lizama, M.D.
• LMR LLC (X-Ray Pro)
• Jitka Lom, M.D.
• Ivan Stephen Lowenthal, M.D.
• Pingyuan Lu
• Cheryll Ann Estacio Lueke, P.T.

• Psychiatric/Mental Health Registered Nurse in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Psychiatric/Mental Health Registered Nurse in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.