MR. MICHAEL ROBERT TAYLOR (NPI# 1306461298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306461298 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL ROBERT TAYLOR |
| Credential | LPN |
| Practice Address |
705 Lena St Salmon ID 83467-4208 |
| Practice Telephone | 2087568515 |
| Practice Fax Number | 2087568385 |
| Mailing Telephone | 2087568515 |
| Mailing Fax Number | 2087568385 |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN-14621 | ID | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807146 | Michael Lee Taylor | Occupational Therapist | 100 W Gore St Ste 104, Orlando, FL 32806-1041 | 2020-09-30 |
| 1619587599 | Michael Damonta Taylor | Non-emergency Medical Transport (VAN) | 154 Pine Hill Ct, Brodnax, VA 23920-3331 | 2020-08-05 |
| 1154946804 | Michael Lee Taylor | Student in an Organized Health Care Education/Training Program | 1411 Ridgewood Dr, Martinez, CA 94553-4221 | 2020-06-09 |
| 1184129223 | Michael Taylor | Student in an Organized Health Care Education/Training Program | 122 67th St Apt 1, Brooklyn, NY 11220-4822 | 2018-03-29 |
| 1598213431 | Michael Ray Taylor Jr. | Specialist/Technologist | 20 Lost Mountain Rd, Center Ridge, AR 72027-8317 | 2016-09-21 |
| 1891159638 | Michael Taylor | Non-emergency Medical Transport (VAN) | 4602 Jefferson Dr, Richton Park, IL 60471-1850 | 2016-04-07 |
| 1629465752 | Michael Taylor | Surgery | 72 E Concord St Bldg C515, Boston, MA 02118-2642 | 2015-04-15 |
| 1356749253 | Michael Craig Taylor | Physician Assistant | 715 North Brown Street, Alma, NE 68920-0665 | 2014-12-09 |
| 1861760308 | Michael Andrew Taylor | Speech-Language Pathologist | 836 Verde Dr, Riverdale, GA 30274-1646 | 2011-12-13 |
| 1720383896 | Michael Allen Taylor | Pharmacist | 4915 S Regal St, Spokane, WA 99223-7633 | 2011-01-20 |
| Street Address |
705 LENA ST |
| City | SALMON |
| State | ID |
| Zip Code | 83467-4208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750798815 | Boise Vamc | Clinic/Center | 705 Lena St, Salmon, ID 83467-4208 | 2014-07-21 |
| 1548885452 | Kirstie Burch | Registered Nurse | 705 Lena St, Salmon, ID 83467-4208 | 2020-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010686 | Rocky Mountain Holdings, LLC | Ambulance | 17 Center Hangar Rd, Salmon, ID 83467 | 2020-07-20 |
| 1790204881 | Annah Benedict Dahle | Physical Therapist | Porgy & Petunia's Pediatric Therapy 111 E Lillian, Suite 8, Salmon, ID 83467 | 2017-09-11 |
| 1912436395 | Georgena Yanoff | Occupational Therapist | 516 Main Street #103, Salmon, ID 83467 | 2017-06-08 |
| 1134580525 | Amy Berasi | Specialist | 201 Pole Line Rd, Salmon, ID 83467 | 2016-03-11 |
| 1689098964 | Aspen Meadows Home Care LLC | In Home Supportive Care | 104 South Warpath, Salmon, ID 83467 | 2014-02-07 |
| 1366799827 | Physical Therapy Clinic,inc. | Clinic/Center | 802 Shoup Street, Salmon, ID 83467 | 2012-08-14 |
| 1689826984 | Charles John Clark | Pharmacist | 203 So. Daisy, Salmon, ID 83467 | 2008-10-17 |
| 1972767531 | Katherine I Contway | Social Worker | 204 Courthouse Dr, Salmon, ID 83467 | 2008-07-14 |
| 1215135017 | Annie J Allen | Acupuncturist | 111 Lillian Street, Suite 211, Salmon, ID 83467 | 2007-07-03 |
| 1992913479 | Steele Memorial Medical Center | Medicare Defined Swing Bed Unit | 203 S. Daisy St., Salmon, ID 83467 | 2007-05-18 |
| Find all providers in zip 83467 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267266 | Mary Laree Kenworthy | Licensed Practical Nurse | 500 W Fort St Bldg 88, Boise, ID 83702-4598 | 2020-08-31 |
| 1457974669 | Marcey Louise Waugh | Licensed Practical Nurse | 500 W Fort St Bldg 124, Boise, ID 83702-4501 | 2020-05-21 |
| 1740801364 | Xochitl Hodgson | Licensed Practical Nurse | 28 Creekside Ln, Hope, ID 83836-9641 | 2020-05-05 |
| 1841712049 | Caitlinn Kuuipo Tanaka | Licensed Practical Nurse | 4835 Trent St, Chubbuck, ID 83202-2955 | 2017-07-10 |
| 1992154538 | Carolyn Blasch | Licensed Practical Nurse | 3912 Sage Creek Dr, Boise, ID 83714-5502 | 2016-06-05 |
| 1841671716 | Victoria Hamrick | Licensed Practical Nurse | 64 N Elijah Dr, Nampa, ID 83651-2209 | 2015-06-16 |
| 1679951545 | Steven Miranda | Licensed Practical Nurse | 1471 Mountain View Ln Apt 4, Idaho Falls, ID 83402-1861 | 2015-05-12 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| 1952700478 | Tiana Hernandez | Licensed Practical Nurse | 86 S Rolling Green St, Nampa, ID 83687-8921 | 2014-08-20 |
| 1326464991 | Michael Deschene Jr. | Licensed Practical Nurse | 641 E Wild Lilac St, Kuna, ID 83634-2388 | 2014-03-06 |
| Find all providers with the same taxonomy | ||||
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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.