Marvin Shawn Taylor

Primary specialty

TaxiTaxonomy code 344600000X

License

005363394 Issued in LA

Practice address

913 Adams St
Opelousas, LA 70570-2825

Phone

(337) 945-4785

NPI assigned

Apr 25, 2019

Last updated

Apr 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1902460827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1012",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705711012",
            "telephone_number": "337-945-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 ADAMS ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705702825",
            "telephone_number": "337-945-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARVIN",
        "middle_name": "SHAWN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "LA",
            "license": "005363394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005363394",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin J Tate, ARDMS RVT RCS ARRT
• Rachael A Tate, M.D.
• Richard Tate, MD
• Shane A Tatman, RPH
• Keri Taylor, PHARMD
• Rachel Taylor, APRN-BC
• Taran Taylor, PA-C
• Gervis Tezeno Jr.
• Jalencia Tezeno
• The Family Clinic Inc

• Taxi in Opelousas, LA
• Providers in Opelousas, LA by specialty
• Taxi in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.