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AMANDA BOORNAZIAN TAYLOR MD
NPI 1114676574
Student in an Organized Health Care Education/Training Program in Durham, NC

Active since March 22, 2022PECOS Enrolled
2301 ERWIN RD, DURHAM, NC 27705(919) 684-8111 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Boornazian Taylor Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA BOORNAZIAN TAYLOR MD (NPI 1114676574) is an individual student in an organized health care education/training program in Durham, North Carolina and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114676574
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA BOORNAZIAN TAYLORCredential: MD
Location Address2301 ERWIN RDDurham, NC 27705-4699
Mailing Address2301 Erwin RdDurham, NC 27705-4699 · (919) 684-8111
Phone(919) 684-8111
Sole ProprietorNo
Enumeration DateMarch 22, 2022
Last NPPES UpdateMarch 13, 2023
NPPES CertifiedMarch 13, 2023
✔ NPI 1114676574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2301 ERWIN RD, Durham, NC 27705
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Other Names 1

Former Name (1)Amanda Elizabeth Boornazian Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Boornazian Taylor Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HONGYUN JUNE ZHU M.D.
Radiology (Diagnostic Radiology)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
WILBUR RIGEL DATTILO M.D.
Psychiatry & Neurology (Psychiatry)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
DR. SHARON MCCARTNEY M.D.
Anesthesiology
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 681-3811
DR. JOEL GARRY MORASH M.D.
Student in an Organized Health Care Education/Training Program
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
REBEKAH DOIRON
Nurse Practitioner (Family)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
DR. YURIY ZEYLIKMAN M.D.
Psychiatry & Neurology (Neurology)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
ELIZABETH HOPE WEISSLER
Surgery (Vascular Surgery)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
DR. ANGEL GUERRERO MD
Emergency Medicine
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Taylor's NPI number?

The NPI number for Amanda Taylor is 1114676574. It was assigned to this individual provider in the NPPES registry on March 22, 2022. The provider is also known as Amanda Elizabeth Boornazian MD.

Where is Amanda Taylor located?

Amanda Taylor practices at 2301 Erwin Rd, Durham, NC 27705. The listed phone number is (919) 684-8111.

What is Amanda Taylor's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Amanda Taylor enrolled in Medicare?

Yes. Amanda Taylor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Taylor was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.