Individual provider Active NPI

Taylor Michelle Sehorn

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1679049324
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
20950 N Tatum Blvd Ste 190
Phoenix, AZ 85050-4251
Phone
(480) 776-0021
NPI assigned
Oct 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X AZ Primary

Addresses

Primary practice location

20950 N Tatum Blvd Ste 190
Phoenix, AZ 85050-4251

Mailing address

3150 E Beardsley Rd Unit 1017
Phoenix, AZ 85050-3561
Phone (480) 862-4417

Other practice location 1

3150 E Beardsley Rd Unit 1017
Phoenix, AZ 85050-3561
Phone (480) 862-4417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191022000465 AZ Practitioner - Physician Assistant 8921330184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

1394 W 16TH St
Yuma, AZ 85364-4430
Phone (928) 539-0055

14800 W Mountain View Blvd
Suite 190
Surprise, AZ 85374-2700
Phone (623) 385-7299

20950 N Tatum Blvd
Suite 190
Phoenix, AZ 85050-4251
Phone (480) 776-0021

2122 N Scottsdale Rd
Scottsdale, AZ 85257-2123
Phone (480) 889-3570

4815 E Carefree Hwy
Suite 124
Cave Creek, AZ 85331-4719
Phone (480) 626-0525

5920 W McDowell Rd
Phoenix, AZ 85035-4853
Phone (623) 245-0440

600 S Dobson Rd
Suite C26
Chandler, AZ 85224-5690
Phone (480) 814-1560

7425 E Shea Blvd
Suite 108
Scottsdale, AZ 85260-6411
Phone (480) 348-1060

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

9494 W Northern Ave
Suite 101
Glendale, AZ 85305-1119
Phone (623) 872-2226

9745 W Bell Rd
Suite 105
Sun City, AZ 85351-1371
Phone (623) 742-2999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7522AZMDOrthodontics and Dentofacial Orthopedic Dentist

Interoperability endpoints

  • Direct secure messaging: taylor.sehornpac.p1@direct.nextcare.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1679049324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 E BEARDSLEY RD UNIT 1017",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503561",
            "telephone_number": "480-862-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20950 N TATUM BLVD STE 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504251",
            "telephone_number": "480-776-0021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 E Beardsley Rd Unit 1017",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850503561",
            "country_code": "US",
            "telephone_number": "480-862-4417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEHORN",
        "first_name": "TAYLOR",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-21",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.