Individual provider Active NPI

Tameka Taylor

  • Specialist
  • Winter Haven, FL
National Provider Identifier
1902279508
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
CE9990378 Issued in FL
Practice address
3009 US Highway 92
Winter Haven, FL 33881-9048
Phone
(863) 808-9616
NPI assigned
Nov 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X CE9990378 FL Primary

Addresses

Primary practice location

3009 US Highway 92
Winter Haven, FL 33881-9048

Mailing address

3009 US Highway 92
Winter Haven, FL 33881-9048
Phone (863) 808-9616

Other practice location 1

104 US Highway 17 S
Winter Haven, FL 33880-5413
Phone (863) 808-9616

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
CE9990378FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1902279508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 US HIGHWAY 92",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338819048",
            "telephone_number": "863-808-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 US HIGHWAY 92",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338819048",
            "telephone_number": "863-808-9616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 US Highway 17 S",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338805413",
            "country_code": "US",
            "telephone_number": "863-808-9616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TAMEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "CE9990378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.