Active NPI
Alexis Danae Taylor
- Diabetes Educator Registered Nurse
- Hugo, OK
National Provider Identifier
1922738624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 136119
- Practice address
- 410 N M St
Hugo, OK 74743-1820 - Phone
- (580) 326-9707
- Fax
- (580) 326-9762
- NPI assigned
- Jun 15, 2022
- Last updated
- Jun 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 136119 | OK | Primary |
Addresses
Primary practice location
410 N M St
Hugo, OK 74743-1820
Mailing address
310 N M St
Hugo, OK 74743-1852
Phone (580) 326-7561
Other practice location 1
1585 W Liberty Rd
Atoka, OK 74525-1702
Phone (580) 889-1981
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adtaylor@cnhsa.com | Direct | Choctaw Nation Health Services Authority |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 136119 | OK | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1922738624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 N M ST",
"city": "HUGO",
"state": "OK",
"postal_code": "747431852",
"telephone_number": "580-326-7561",
"fax_number": "580-326-7564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 N M ST",
"city": "HUGO",
"state": "OK",
"postal_code": "747431820",
"telephone_number": "580-326-9707",
"fax_number": "580-326-9762"
}
],
"practiceLocations": [
{
"address_1": "1585 W Liberty Rd",
"address_purpose": "LOCATION",
"city": "Atoka",
"state": "OK",
"postal_code": "745251702",
"country_code": "US",
"telephone_number": "580-889-1981",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "ALEXIS",
"middle_name": "DANAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-15",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "OK",
"license": "136119",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adtaylor@cnhsa.com",
"affiliation": "Y",
"endpointDescription": "email",
"affiliationName": "Choctaw Nation Health Services Authority",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "410 N M St",
"city": "Hugo",
"state": "OK",
"country_code": "US",
"postal_code": "747431820",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hugo, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.