Individual provider Active NPI

Ericka Taylor

  • Driver
  • Willoughby Hills, OH
National Provider Identifier
1710724372
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Practice address
27500 Bishop Park Dr Apt 917
Willoughby Hills, OH 44092-2760
Phone
(216) 650-7510
Fax
(216) 650-7510
NPI assigned
Jul 11, 2024
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X NU
Adult Companion 372600000X NU
Personal Care Attendant 3747P1801X NU
Driver 172A00000X NU Primary

Addresses

Primary practice location

27500 Bishop Park Dr Apt 917
Willoughby Hills, OH 44092-2760

Mailing address

27500 Bishop Park Dr Apt 917
Willoughby Hills, OH 44092-2760
Phone (216) 650-7510

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

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1710724372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27500 BISHOP PARK DR APT 917",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440922760",
            "telephone_number": "216-650-7510",
            "fax_number": "216-650-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27500 BISHOP PARK DR APT 917",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440922760",
            "telephone_number": "216-650-7510",
            "fax_number": "216-650-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ERICKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.