Active NPI
Taylor Elizabeth Dorsey, M.ED.
- Behavior Analyst
- Lake Elmo, MN
National Provider Identifier
1972054385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 9593 Hudson Blvd N Unit 804
Lake Elmo, MN 55042-4514 - Phone
- (602) 820-7679
- NPI assigned
- Oct 20, 2016
- Last updated
- Sep 13, 2024
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
9593 Hudson Blvd N Unit 804
Lake Elmo, MN 55042-4514
Mailing address
9593 Hudson Blvd N Unit 804
Lake Elmo, MN 55042-4514
Phone (602) 820-7679
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
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1972054385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9593 HUDSON BLVD N UNIT 804",
"city": "LAKE ELMO",
"state": "MN",
"postal_code": "550424514",
"telephone_number": "602-820-7679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9593 HUDSON BLVD N UNIT 804",
"city": "LAKE ELMO",
"state": "MN",
"postal_code": "550424514",
"telephone_number": "602-820-7679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORSEY",
"first_name": "TAYLOR",
"middle_name": "ELIZABETH",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-20",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Elmo, MN
- Dedicated Home Health Care LLC
- Dental Specialists of Minnesota, PLLC (The Dental Specialists High Pointe)
- Dental Specialists of Minnesota, PLLC (The Dental Specialists)
- Hamda Dirrir
- Sarah Ann Dorff, C.R.N.A
- Ryan Drewianka, LPCC
- Eagle Care Transportation LLC
- East Metro ASC LLC (High Pointe Surgery Center)
- Dorothy A Elion, LMFT
- Encompass Nutrition (Abby M Ludwig)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.