Individual provider Active NPI

Marilyn Taylor, TRANSPORTATION

  • Vehicle Modifications Contractor
  • Memphis, TN
National Provider Identifier
1740732379
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vehicle Modifications ContractorTaxonomy code 171WV0202X
License
065978717 Issued in TN
Practice address
7315 Rourke CV
Memphis, TN 38125-4827
Phone
(901) 309-8627
Fax
(901) 309-7712
NPI assigned
Oct 31, 2016
Last updated
Oct 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vehicle Modifications Contractor 171WV0202X 065978717 TN Primary
Driver 172A00000X 065978717 TN

Addresses

Primary practice location

7315 Rourke CV
Memphis, TN 38125-4827

Mailing address

7315 Rourke CV
Memphis, TN 38125-4827
Phone (901) 309-8627

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
065978717TNMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1740732379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 ROURKE CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381254827",
            "telephone_number": "901-309-8627",
            "fax_number": "901-309-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 ROURKE CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381254827",
            "telephone_number": "901-309-8627",
            "fax_number": "901-309-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARILYN",
        "credential": "TRANSPORTATION",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WV0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Vehicle Modifications",
            "state": "TN",
            "license": "065978717",
            "primary": true
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TN",
            "license": "065978717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.