Individual provider Active NPI

Michelle Le Taylor, ACSM-CEP

  • Clinical Exercise Physiologist
  • Winchester, CA
National Provider Identifier
1972209955
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
License
1061453 Issued in CA
Practice address
29112 Topeka Cir
Winchester, CA 92596-9627
Phone
(951) 795-9482
NPI assigned
Feb 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Exercise Physiologist 224Y00000X 1061453 CA Primary

Addresses

Primary practice location

29112 Topeka Cir
Winchester, CA 92596-9627

Mailing address

29112 Topeka Cir
Winchester, CA 92596-9627
Phone (951) 795-9482

Other names 1

  • Michele Le' Taylor Professional name

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

LicenseStateTypeSpecialty
1061453CAMDClinical Exercise Physiologist

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1972209955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29112 TOPEKA CIR",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925969627",
            "telephone_number": "951-795-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29112 TOPEKA CIR",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925969627",
            "telephone_number": "951-795-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MICHELLE",
        "middle_name": "LE",
        "credential": "ACSM-CEP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "CA",
            "license": "1061453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE LE'",
            "last_name": "TAYLOR",
            "credential": "ACSM-CEP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Winchester, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.