Amanda Ann Taylor

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

201164090 Issued in KY

Practice address

5603 Arvis Dr
Louisville, KY 40216-1307

Phone

(502) 648-7394

NPI assigned

Nov 11, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1780080259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 CARABINER WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455468",
            "telephone_number": "502-648-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5603 ARVIS DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161307",
            "telephone_number": "502-648-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "AMANDA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "KY",
            "license": "201164090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Blvd Chiropractic
• Shelby Nicole Taylor-Schroeder, MS, CCC-SLP
• Gena Gail Taylor-Tidwell, LPCC
• Aaliyah Taylor, RBT
• Alec Michael Taylor
• Antoinette Taylor, LPCC
• April Taylor, RBT
• Barbara Taylor
• Benjamin J Taylor, DMD
• Bonnie Taylor, LCSW

• Developmental Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Developmental Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.