DR. KRISTEN ELISE TAYLOR (NPI# 1154758845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154758845 |
| Entity Type | Individual |
| Full Name | DR. KRISTEN ELISE TAYLOR |
| Other Name | KRISTEN TAYLOR MCCORMICK |
| Credential | D.O. |
| Practice Address |
1500 Cooper St Fort Worth TX 76104 |
| Mailing Address |
Po Box 733784 Dallas TX 75373-3784 |
| Practice Telephone | 6828852500 |
| Mailing Telephone | 6828851860 |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2019-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
R7123 | TX | Allopathic & Osteopathic Physicians |
| N | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
BP10058779 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5323 Harry Hines Blvd, Dallas, TX 75390 | 2146488826 | |
| 6500 38th Ave N, St. Petersburg, FL 33710 | 7273414819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144869793 | Kristen Shriee Taylor | Social Worker | 4850 Lakeplace Dr, Cedar Bluff, AL 35959-5144 | 2019-12-30 |
| 1801439260 | Kristen Taylor | Registered Nurse | N1625 Keifer Ct, Greenville, WI 54942-9745 | 2019-10-17 |
| 1326608712 | Kristen Nicolette Taylor | Dentist | 30525 Old Stream Cir, Southfield, MI 48076-5332 | 2019-06-18 |
| 1508312794 | Kristen Nicole Taylor | Counselor | 24678 Madison Ct, Farmington Hills, MI 48335-1810 | 2016-08-29 |
| 1063803377 | Kristen Taylor | Family Medicine | 2480 Rosewood N, Mount Pleasant, MI 48858-5003 | 2015-02-09 |
| 1285929984 | Kristen Kerry Taylor | Student in an Organized Health Care Education/Training Program | 1603 Ximeno Ave, #193, Long Beach, CA 90804-2144 | 2011-06-10 |
| 1194992396 | Kristen Ashley Taylor | Midwife | 67 Aqua Vitae Rd, Hadley, MA 01035-9419 | 2008-05-15 |
| 1396391132 | Kristen Taylor | Physical Therapy Assistant | 103 Davis Rd Ste M, League City, TX 77573-2769 | 2019-08-16 |
| 1013433879 | Kristen Noelle Taylor | Massage Therapist | 1301 N Pines Rd, Spokane Valley, WA 99206-4964 | 2017-08-14 |
| 1679965099 | Kristen Rae Taylor | Physician Assistant | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 | 2015-02-22 |
| Street Address |
1500 COOPER ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497747653 | Luciana Rochetti | Physician Assistant | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2005-08-15 |
| 1821696493 | Leekelli Kennedy | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-10-15 |
| 1871109124 | Caitlyn R Praytor | Nurse Practitioner | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-09-22 |
| 1497389126 | Chelsea Barrow | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-03-03 |
| 1386281871 | Emily Susan Larkin | Nurse Practitioner | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-12-04 |
| 1508416629 | Christa Standefer | Family Medicine | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-09-19 |
| 1972153112 | Alexis Courtney | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-09-19 |
| 1366099376 | Haley Tullos | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-08-23 |
| 1538716139 | Amanda Rae Macdonald | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-08-20 |
| 1730731498 | Erin Walkley | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366095911 | Heidi Janette Mendez | Physical Medicine & Rehabilitation | 8115 N Los Ebanos Rd Ste 4, Alton, TX 78573-1670 | 2019-07-23 |
| 1285063990 | Para Pediatric & Adult Rehabilitation Associates, Pllc | Physical Medicine & Rehabilitation | 3800 N Mesa St Ste A2-343, El Paso, TX 79902-1538 | 2013-11-03 |
| 1215279492 | Sruthi Pandipati Thomas | Physical Medicine & Rehabilitation | 6701 Fannin St # D1280, Houston, TX 77030 | 2013-03-26 |
| 1427255223 | Glendaliz Bosques | Physical Medicine & Rehabilitation | 1333 Moursund St # E105, Houston, TX 77030-3405 | 2007-06-27 |
| 1033275888 | Susan Victoria Kattula Gammon | Physical Medicine & Rehabilitation | 6621 Fannin St., Houston, TX 77030 | 2006-12-28 |
| 1154490662 | Cynthia A Mckenna | Physical Medicine & Rehabilitation | 2606 Brandi Ln, Corinth, TX 76210-1625 | 2006-11-07 |
| 1770681637 | Itzel Solis | Physical Medicine & Rehabilitation | 27135 Mesa Verde Dr, Magnolia, TX 77354-4097 | 2006-09-21 |
| 1578595658 | Barbara C Wechsler | Physical Medicine & Rehabilitation | Texas Children's Hospital 6621 Fannin, West Tower 21st Floor Rm 329, Houston, TX 77030 | 2006-07-07 |
| 1235773276 | Jose Jesus Marquez Jr. | Physical Medicine & Rehabilitation | 1514 N Zaragoza Rd, El Paso, TX 79936-8031 | 2019-11-02 |
| 1346881315 | Amanda Michelle Hanson | Physical Medicine & Rehabilitation | 900 Junction Dr, Allen, TX 75013-5290 | 2019-10-01 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.