Active NPI
Rebecca Lorene Taylor, DO
- Pediatrics Physician
- S Charleston, WV
National Provider Identifier
1982845327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- WV2481
- Practice address
- 4607 Maccorkle Ave SW Ste 204
S Charleston, WV 25309-1364 - Phone
- (304) 388-2525
- Fax
- (304) 388-2537
- NPI assigned
- Mar 16, 2009
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | WV2481 | WV | Primary |
Addresses
Primary practice location
4607 Maccorkle Ave SW Ste 204
S Charleston, WV 25309-1364
Mailing address
4607 Maccorkle Ave SW Ste 204
S Charleston, WV 25309-1364
Phone (304) 767-7930
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WV2481 | WV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Health Systems Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Milton, WV
- NPI 1891775557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1982845327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4607 MACCORKLE AVE SW STE 204",
"city": "S CHARLESTON",
"state": "WV",
"postal_code": "253091364",
"telephone_number": "304-767-7930",
"fax_number": "304-767-7935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4607 MACCORKLE AVE SW STE 204",
"city": "S CHARLESTON",
"state": "WV",
"postal_code": "253091364",
"telephone_number": "304-388-2525",
"fax_number": "304-388-2537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "REBECCA",
"middle_name": "LORENE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-16",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WV",
"license": "WV2481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in S Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.