Individual provider Active NPI

Carolyn Larkin Taylor, MD

  • Neurology Physician
  • Bellingham, WA
National Provider Identifier
1790844660
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
39245 Issued in WA
Practice address
11 Bellwether Way
Suite 210
Bellingham, WA 98225-2957
Phone
(360) 752-9919
Fax
(360) 752-1647
NPI assigned
Dec 7, 2006
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 39245 WA Primary

Addresses

Primary practice location

11 Bellwether Way
Suite 210
Bellingham, WA 98225-2957

Mailing address

11 Bellwether Way
Suite 210
Bellingham, WA 98225-2957
Phone (360) 752-9919

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ctaylor1043402@wm.providencedirect.org
Direct Messaging Address ctaylor1043402@wm.providencedirect.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200306001712 TX Practitioner - Neurology 3870489982 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39245WAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Feb 11, 2020 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Feb 11, 2020 Accepting new patients
Abington Neurological Associates LTD Neurology Past Accepting new patients
Moore Eye Care, P.C. Past Accepting new patients
Behavioral Solutions Medical, PC Past Accepting new patients

Locations

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIGIAA

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1790844660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BELLWETHER WAY",
            "address_2": "SUITE 210",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252957",
            "telephone_number": "360-752-9919",
            "fax_number": "360-752-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BELLWETHER WAY",
            "address_2": "SUITE 210",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252957",
            "telephone_number": "360-752-9919",
            "fax_number": "360-752-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CAROLYN",
        "middle_name": "LARKIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "39245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctaylor1043402@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "550 17th Ave Ste 400",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981225789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctaylor1043402@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "5350 Tallman Ave NW Ste 400",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981075909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.