Individual provider Active NPI

Jonathan E. Taylor Sr., REGISTERED NURSE

  • Registered Nurse
  • Germantown, OH
National Provider Identifier
1659521086
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
210752 Issued in OH
Practice address
60 Royal RDG
Germantown, OH 45327-1379
Phone
(937) 855-2044
Fax
(937) 855-2045
NPI assigned
Sep 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 210752 OH Primary
Administrator Registered Nurse 163WA2000X 210752 OH

Addresses

Primary practice location

60 Royal RDG
Germantown, OH 45327-1379

Mailing address

60 Royal RDG
Germantown, OH 45327-1379
Phone (937) 855-2044

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
210752OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1659521086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ROYAL RDG",
            "city": "GERMANTOWN",
            "state": "OH",
            "postal_code": "453271379",
            "telephone_number": "937-855-2044",
            "fax_number": "937-855-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ROYAL RDG",
            "city": "GERMANTOWN",
            "state": "OH",
            "postal_code": "453271379",
            "telephone_number": "937-855-2044",
            "fax_number": "937-855-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JONATHAN",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "210752",
            "primary": true
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "OH",
            "license": "210752",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.