KARYN DENISE TAYLOR (NPI# 1972789675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972789675 |
| Entity Type | Individual |
| Full Name | KARYN DENISE TAYLOR |
| Other Name | KAREN DENISE TAYLOR |
| Credential | PA-C, AA-C |
| Practice Address |
2165 Herschel St Care of Nfac Jacksonville FL 32204-3819 |
| Mailing Address |
6205 Lonnie Lee Ln Hudson FL 34667-1331 |
| Practice Telephone | 9043874030 |
| Practice Fax Number | 9043819808 |
| Mailing Telephone | 8133358020 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2013-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA 9104457 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367H00000X | Anesthesiologist Assistant | AA164 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000880400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538139183 | Karyn Taylor | Nurse Practitioner | 13316 S Western Ave, Suite M, Moore, OK 73170-7302 | 2006-01-25 |
| Street Address |
2165 HERSCHEL ST CARE OF NFAC |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972582906 | Chris John Kane | Anesthesiology | 2165 Herschel St, Jacksonville, FL 32204-3819 | 2006-01-10 |
| 1760985782 | Dipam Jashwant Shah | Anesthesiology | 2165 Herschel St, Jacksonville, FL 32204-3819 | 2018-03-15 |
| 1447628201 | Helen Wang | Anesthesiologist Assistant | 2165 Herschel St, Jacksonville, FL 32204-3819 | 2015-09-10 |
| 1225428972 | Wendy Griscom | Nurse Anesthetist, Certified Registered | 2165 Herschel St, Jacksonville, FL 32204-3819 | 2015-02-03 |
| 1902227218 | Michala Dawn Pelletier | Nurse Anesthetist, Certified Registered | 2165 Herschel St, Jacksonville, FL 32204-3819 | 2014-01-04 |
| 1003246257 | Joyce Wallace | Registered Nurse | 2165 Herschel St, Jacksonville, FL 32204-3819 | 2013-11-24 |
| 1316370349 | Weirong Zhang | Anesthesiologist Assistant | 2165 Herschel St, Jacksonville, FL 32204-3819 | 2013-08-13 |
| 1033450861 | Noralyn Casiple | Nurse Anesthetist, Certified Registered | 2165 Herschel St, Jacksonville, FL 32204-3819 | 2013-03-04 |
| 1013255819 | Bruce Anthony Wilburn | Nurse Anesthetist, Certified Registered | 2165 Herschel St, Jacksonville, FL 32204-3819 | 2013-01-29 |
| 1194062885 | Mark Erik Foutz | Nurse Anesthetist, Certified Registered | 2165 Herschel St, Jacksonville, FL 32204-3819 | 2013-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992327308 | Daniel Le Phan | Anesthesiologist Assistant | 800 Prudential Dr Fl 32207, Jacksonville, FL 32207-8202 | 2020-05-08 |
| 1497395412 | Charles Joshua Thrower | Anesthesiologist Assistant | 1 Shircliff Way # Wat, Jacksonville, FL 32204-4748 | 2020-01-07 |
| 1659856862 | Ian Michael Durham | Anesthesiologist Assistant | 1 Shircliff Way Fl 32204, Jacksonville, FL 32204-4748 | 2018-10-03 |
| 1538535711 | Zeyla Rivero | Anesthesiologist Assistant | 11430 Tiara Way E, Jacksonville, FL 32223-7860 | 2015-08-11 |
| 1902206584 | Maria Williamson | Anesthesiologist Assistant | 1815 Bayard Pl, Jacksonville, FL 32205-8803 | 2014-09-02 |
| 1659705655 | Jessica Hyams Kennedy | Anesthesiologist Assistant | 820 Prudential Dr Ste 606, Jacksonville, FL 32207-8208 | 2013-08-26 |
| 1194003228 | Miguel Mancao IIi | Anesthesiologist Assistant | 10199 Southside Blvd Ste 101, Jacksonville, FL 32256-0757 | 2011-07-22 |
| 1285247411 | Victoria Potts | Anesthesiologist Assistant | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2020-08-27 |
| 1760090302 | Matthew Ryan Jones | Anesthesiologist Assistant | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-07-20 |
| 1295353407 | Taylor Rush Cowart | Anesthesiologist Assistant | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-07-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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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.