Individual provider Active NPI

Taylor Renee' Withers, RN

  • Registered Nurse
  • San Diego, CA
National Provider Identifier
1952992562
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95237584 Issued in CA
Practice address
9444 Balboa Ave Ste 200
San Diego, CA 92123-4374
Phone
(619) 694-6733
NPI assigned
Jan 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN736403 PA
Registered Nurse 163W00000X 95237584 CA Primary

Addresses

Primary practice location

9444 Balboa Ave Ste 200
San Diego, CA 92123-4374

Mailing address

2234 Bolinas St
San Diego, CA 92107-1704
Phone (541) 815-6362

Other practice location 1

2234 Bolinas St
San Diego, CA 92107-1704
Phone (541) 815-6362

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95237584CAMDRegistered Nurse
RN736403PAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1952992562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 BOLINAS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921071704",
            "telephone_number": "541-815-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9444 BALBOA AVE STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234374",
            "telephone_number": "619-694-6733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2234 Bolinas St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921071704",
            "country_code": "US",
            "telephone_number": "541-815-6362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITHERS",
        "first_name": "TAYLOR",
        "middle_name": "RENEE'",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN736403",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95237584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.