MR. TIMOTHY MICHAEL TAYLOR (NPI# 1194387373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194387373 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY MICHAEL TAYLOR |
| Credential | NP |
| Practice Address |
2 W Fern Ave Redlands CA 92373-5916 |
| Mailing Address |
Po Box 10069 San Bernardino CA 92423-0069 |
| Practice Telephone | 9097933311 |
| Mailing Telephone | 9093354188 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
95012017 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
95012017 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700394749 | Timothy Dewaine Taylor | Pharmacist | 333 Laidley St Fl 3, Charleston, WV 25301-1614 | 2018-01-11 |
| 1518317007 | Timothy Taylor II | Physician Assistant | 140 Myrtle St, Girard, PA 16417-1624 | 2016-06-15 |
| 1144621384 | Timothy Leon Taylor | Counselor | 408 Mulberry St., Brownwood, TX 76801 | 2014-09-08 |
| 1538416490 | Timothy J Taylor | Registered Nurse | 14240 Emporia St, Brighton, CO 80602-5770 | 2012-08-10 |
| 1609159938 | Timothy W Taylor | Pharmacist | 4 Brittany Ct, Bloomington, IL 61704-8367 | 2011-09-22 |
| 1760625081 | Timothy Pattison Taylor Jr. | Emergency Medicine | 300 Big Mountain Road, Pelham, AL 35124-4102 | 2009-04-16 |
| 1205059532 | Timothy Neal Taylor | Counselor | 1315a Curt Dr, Champaign, IL 61821-1119 | 2007-04-11 |
| 1770620684 | Timothy N Taylor | Nurse Practitioner | 182 Sw Academy St Ste 304, Dallas, OR 97338-1900 | 2007-01-31 |
| 1033122593 | Timothy Scott Taylor | Physical Therapist | 5750 Alexis Rd, Sylvania, OH 43560-2349 | 2006-08-15 |
| 1033121322 | Timothy Osborn Taylor | Urology | 2330 Coronado St, Idaho Falls, ID 83404-7407 | 2006-08-13 |
| Street Address |
2 W FERN AVE |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-5916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962802 | Sue Allison Field | Anesthesiology | 2 W Fern Ave, Redlands, CA 92373-5916 | 2005-06-14 |
| 1114535044 | Jose Lopez | Nurse Practitioner | 2 W Fern Ave, Redlands, CA 92373-5916 | 2020-07-16 |
| 1275158305 | Carley Marie Anderson | Physician Assistant | 2 W Fern Ave, Redlands, CA 92373-5916 | 2020-06-15 |
| 1083180392 | Janet Cantada | Pharmacist | 2 W Fern Ave, Redlands, CA 92373 | 2018-10-15 |
| 1821579335 | Jacqueline Hae Yun Evans | Physician Assistant | 2 W Fern Ave, Redlands, CA 92373-5916 | 2018-08-22 |
| 1063907152 | Kristen Nicole Chaves | Nurse Practitioner | 2 W Fern Ave, Redlands, CA 92373-5916 | 2018-06-29 |
| 1154823177 | Angela Joan Flores | Pharmacist | 2 W Fern Ave, Redlands, CA 92373 | 2018-03-06 |
| 1619482718 | Agnes Arorong Esteva | Hospitalist | 2 W Fern Ave, Redlands, CA 92373 | 2017-12-12 |
| 1578075867 | Lisa Gilbert | Nurse Practitioner | 2 W Fern Ave, Redlands, CA 92373-5916 | 2017-10-26 |
| 1013426154 | Madison Tucker Zagurski | Physician Assistant | 2 W Fern Ave, Redlands, CA 92373-5916 | 2017-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043464019 | Sunah Song | Nurse Practitioner | 26001 Redlands Blvd # 117, Redlands, CA 92373 | 2008-11-04 |
| 1063907152 | Kristen Nicole Chaves | Nurse Practitioner | 2 W Fern Ave, Redlands, CA 92373-5916 | 2018-06-29 |
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|---|---|---|---|---|
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| 1851990550 | Fernanda Monteon Ibarra | Nurse Practitioner | 30222 Belmont Ct, Agoura Hills, CA 91301-4611 | 2020-10-22 |
| 1780283168 | Brenda Rienru Rhima | Nurse Practitioner | 24657 Rockston Dr, Corona, CA 92883-1614 | 2020-10-18 |
| 1215535034 | Shiji John | Nurse Practitioner | 3765 Gunnison Cir, Corona, CA 92881-8486 | 2020-10-14 |
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1063028298 | Kanokwan Kultan | Nurse Practitioner | 15850 Babcock St, San Diego, CA 92127-3680 | 2020-09-22 |
| 1538775093 | David Lee | Nurse Practitioner | 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 | 2020-09-21 |
| 1124634886 | Catherine Kestenian | Nurse Practitioner | 351 E Foothill Blvd Ste 250, Arcadia, CA 91006-7426 | 2020-09-18 |
| 1285249565 | Anu Tharoor | Nurse Practitioner | 505 Parnassus Ave Fl 9, San Francisco, CA 94143-2204 | 2020-09-13 |
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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.