Amanda Renee Taylor, ATC, SCATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000003469 Issued in NC

Practice address

66 George St
Sports Medicine
Charleston, SC 29424-0001

Phone

(834) 953-6540

NPI assigned

Jul 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1982011466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 GEORGE ST",
            "address_2": "SPORTS MEDICINE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294240001",
            "telephone_number": "834-953-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 GEORGE ST",
            "address_2": "SPORTS MEDICINE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294240001",
            "telephone_number": "834-953-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "AMANDA",
        "middle_name": "RENEE",
        "credential": "ATC, SCATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "2000003469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Tortora Tate, MS, CCC-SLP
• Julia Tatum, OTR/L
• Mary Victoria Tatum, DMD
• Manoucher Lance Tavana, M.D.
• Edward M. Tavel Jr., M.D.
• Anna Greta Taylor, M.D.
• Benia Jonise Taylor
• Brandie Taylor, ANP
• Caroline Taylor
• Carolyn Lee Taylor, MD

• Athletic Trainer in Charleston, SC
• Providers in Charleston, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.