Taila Clyburn

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

N39575 Issued in NY

Practice address

51 Winter Ave
Staten Island, NY 10301-2322

Phone

(646) 508-1548

NPI assigned

Jul 30, 2026

Sex

Unspecified or another gender identity

Sole proprietor

No

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

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1891618708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 18TH AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 WINTER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012322",
            "telephone_number": "646-508-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLYBURN",
        "first_name": "TAILA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "N39575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clove Urology,PC
• Club Mental Health Counseling Services, P.C.
• Douglas Clyburn, R.N.
• CMG Speech Language Pathology PLLC
• CMS Telehealth
• Coach Vera's Slow & Steady Health Program
• William Cobb, CASAC-T
• Rose Cobo

• Registered Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.