Individual provider Active NPI

Taylor Layne Cloy, APNP

  • Nurse Practitioner
  • San Marcos, TX
National Provider Identifier
1770040677
Registry record updated Oct 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1032750 Issued in TX
Practice address
1305 Wonder World Dr Ste 100
San Marcos, TX 78666-7502
Phone
(122) 663-3775
Fax
(512) 328-2663
NPI assigned
Feb 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1032750 TX Primary

Addresses

Primary practice location

1305 Wonder World Dr Ste 100
San Marcos, TX 78666-7502

Mailing address

4316 James Casey St Ste F-201
Austin, TX 78745-1160
Phone (512) 266-3377

Other names 1

  • Taylor Cloy Domingue Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230217000819 TX Practitioner - Nurse Practitioner 7911247473 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Pain and Orthopedics, PLLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

4316 James Casey St
Ste F-201
Austin, TX 78745
Phone (210) 363-2641

1305 Wonder World Dr
Ste 100
San Marcos, TX 78666
Phone (512) 353-8658

Interoperability endpoints

  • Direct secure messaging: taylor.cloy.1@22579.direct.athenahealth.com

Organizations & group practices 1

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": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696723200000",
    "number": "1770040677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 JAMES CASEY ST STE F-201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451160",
            "telephone_number": "512-266-3377",
            "fax_number": "512-328-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WONDER WORLD DR STE 100",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667502",
            "telephone_number": "122-663-3775",
            "fax_number": "512-328-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOY",
        "first_name": "TAYLOR",
        "middle_name": "LAYNE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2023-10-08",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1032750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "DOMINGUE",
            "middle_name": "CLOY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.