Individual provider Active NPI

Taylor McCutcheon

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1962134338
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17771 Issued in TX
Practice address
8300 N Lamar Blvd Ste 200a
Austin, TX 78753-5976
Phone
(512) 575-9555
Fax
(512) 782-9316
NPI assigned
Jun 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA17771 TX Primary

Addresses

Primary practice location

8300 N Lamar Blvd Ste 200a
Austin, TX 78753-5976

Mailing address

8300 N Lamar Blvd Ste 200a
Austin, TX 78753-5976
Phone (512) 575-9555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240604001613 TX Practitioner - Physician Assistant 9234671496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Carenow Urgent Care PLLCGroup PAC ID 4284918418, 101 clinicians

Practice addresses (Care Compare)

10001 Research Blvd
Suite 100
Austin, TX 78759-5800
Phone (512) 993-3270

10625 W Parmer LN
Suite D400
Austin, TX 78717-4016
Phone (512) 361-6085

1205 S Interstate 35
Georgetown, TX 78626-5410
Phone (512) 942-2535

12415 N
Suite 35
Austin, TX 78753-1326
Phone (737) 205-1270

14008 Shadowglen Blvd
Suite 100
Manor, TX 78653-3406
Phone (512) 514-1020

155 Wonder World Dr
San Marcos, TX 78666-5936
Phone (512) 738-8334

3906 N Lamar Blvd
Suite 100
Austin, TX 78756-4000
Phone (512) 861-8040

5033 W Hwy 290
Carenow
Austin, TX 78735-6751
Phone (512) 265-8980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA17771TXMDPhysician Assistant

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1962134338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 N LAMAR BLVD STE 200A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787535976",
            "telephone_number": "512-575-9555",
            "fax_number": "512-782-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 N LAMAR BLVD STE 200A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787535976",
            "telephone_number": "512-575-9555",
            "fax_number": "512-782-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUTCHEON",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-25",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.