Individual provider Active NPI

Taylor L Van Warner, AUD

  • Audiologist
  • Tampa, FL
National Provider Identifier
1902410103
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2359 Issued in FL
Practice address
3825 Henderson Blvd Ste 600
Tampa, FL 33629-5032
Phone
(813) 751-2263
Fax
(813) 588-6463
NPI assigned
Sep 4, 2020
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AY2359 FL
Audiologist 231H00000X AY2359 FL Primary

Addresses

Primary practice location

3825 Henderson Blvd Ste 600
Tampa, FL 33629-5032

Mailing address

3825 Henderson Blvd Ste 600
Tampa, FL 33629-5032
Phone (813) 751-2263

Other names 1

  • Taylor L Traficant Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201106000296 FL Practitioner - Qualified Audiologist 8729498522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkside Audiology LLCGroup PAC ID 2466839311, 2 clinicians

Practice addresses (Care Compare)

3825 Henderson Blvd
Tampa, FL 33629-5037
Phone (813) 391-4333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY2359FLMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Parkside Audiology LLC Audiologist CurrentSince Jun 24, 2025 Accepting new patients

Locations

3825 Henderson Blvd
Tampa, FL 33629
Phone (813) 391-4333

3825 Henderson Blvd
Ste 600
Tampa, FL 33629
Phone (813) 391-4333

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, 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": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1902410103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 HENDERSON BLVD STE 600",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295032",
            "telephone_number": "813-751-2263",
            "fax_number": "813-588-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HENDERSON BLVD STE 600",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295032",
            "telephone_number": "813-751-2263",
            "fax_number": "813-588-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WARNER",
        "first_name": "TAYLOR",
        "middle_name": "L",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "FL",
            "license": "AY2359",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "TRAFICANT",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.