TYRA L TAYLOR (NPI# 1174920847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174920847 |
| Entity Type | Individual |
| Full Name | TYRA L TAYLOR |
| Other Name | TYRA L MASON |
| Credential | NP |
| Practice Address |
2 Maple Tree Ct Bon Secours Ob-gyn Greenville SC 29615-4068 |
| Mailing Address |
Po Box 743294 Atlanta GA 30374-3294 |
| Practice Telephone | 8645161190 |
| Practice Fax Number | 8645161191 |
| Mailing Telephone | (864) 516-1190 |
| Mailing Fax Number | 8645161191 |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2017-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
19181 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP3008 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659840031 | Tyra Lee Taylor | Social Worker | 823 Maple St, Brainerd, MN 56401-3770 | 2018-11-15 |
| Street Address |
2 MAPLE TREE CT BON SECOURS OB-GYN |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-4068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386199230 | St Francis Physician Services Inc | Obstetrics & Gynecology | 2 Maple Tree Ct, Greenville, SC 29615-4068 | 2016-08-22 |
| 1033578935 | Back230 Vein & Body LLC | Phlebology | 2 Maple Tree Ct, Suite A, Greenville, SC 29615-4068 | 2016-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659919710 | Christy Marie South | Nurse Practitioner | 81 Pointe Cir Ste D, Greenville, SC 29615-3505 | 2019-12-19 |
| 1750927893 | Crystal Lynnette Minor | Nurse Practitioner | 1361 Camilla Dr, Greenville, NC 27834-9556 | 2019-11-25 |
| 1669747341 | Michaela Buchanan French | Nurse Practitioner | 11 Park Creek Drive, Greenville, SC 29605 | 2012-03-14 |
| 1700196144 | Viktoria Y Morris | Nurse Practitioner | 4311 Wesley Street, Greenville, TX 75403-1908 | 2010-10-19 |
| 1063569952 | Lanika Lennee Wright | Nurse Practitioner | East Carolina Univeristy, 1001 East 5th Street, Greenville, NC 27858 | 2007-01-04 |
| 1184786717 | Diane Campbell Carlisle | Nurse Practitioner | 1633 Hospital St, Greenville, MS 38703-3222 | 2006-12-13 |
| 1134182066 | Kathleen Sue Guetschoff | Nurse Practitioner | 1120 Grove Rd, Greenville, SC 29605-4656 | 2006-04-11 |
| 1447748744 | Mary Betheny Coakley | Nurse Practitioner | 1120 Grove Rd, Greenville, SC 29605-4656 | 2018-04-23 |
| 1679001218 | Brandi Belin Pearson | Nurse Practitioner | 1120 Grove Rd, Greenville, SC 29605-4656 | 2017-05-26 |
| 1619344579 | Sarah Harville | Nurse Practitioner | 3900 Joe Ramsey Blvd E, Greenville, TX 75401-7727 | 2015-08-26 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on TYRA L TAYLOR.
| 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.