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KATRINA ALEXANDRA TAYLOR
NPI 1164171245
Student in an Organized Health Care Education/Training Program in Johnson City, TN

Active since March 23, 2022PECOS Enrolled
1276 GILBREATH DR, JOHNSON CITY, TN 37614(423) 439-6210 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Katrina Alexandra Taylor NPPES

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

KATRINA ALEXANDRA TAYLOR (NPI 1164171245) is an individual student in an organized health care education/training program in Johnson City, Tennessee and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164171245
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATRINA ALEXANDRA TAYLOR
Location Address1276 GILBREATH DRJohnson City, TN 37614-6503
Mailing AddressPo Box 70568Johnson City, TN 37614-1707 · (423) 439-6210
Phone(423) 439-6210
Sole ProprietorNo
Enumeration DateMarch 23, 2022
Last NPPES UpdateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1164171245 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.
1276 GILBREATH DR, Johnson City, TN 37614
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katrina Alexandra Taylor 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.

LYDIA HAWORTH
Student in an Organized Health Care Education/Training Program
1276 GILBREATH DR
JOHNSON CITY, TN 37614
Washington County (423) 439-5955
PAUL ROBERT SCOTT
Student in an Organized Health Care Education/Training Program
1276 GILBREATH DR
JOHNSON CITY, TN 37614
Washington County (423) 439-1000
MALLORY RAE ABBOTT COOK
Student in an Organized Health Care Education/Training Program
1276 GILBREATH DR
JOHNSON CITY, TN 37614
Washington County (423) 439-1000
AMANDA LANE MCCURRY FNP-C
Nurse Practitioner (Family)
1276 GILBREATH DR
JOHNSON CITY, TN 37614
Washington County (423) 439-7184
AVA CATHERINE YOBST
Student in an Organized Health Care Education/Training Program
1276 GILBREATH DR
JOHNSON CITY, TN 37614
Washington County (423) 439-4219
UMMAH SALMA NISAR MBBS
Student in an Organized Health Care Education/Training Program
1276 GILBREATH DR
JOHNSON CITY, TN 37614
Washington County (423) 439-6209
OLIVIA BYRD
Student in an Organized Health Care Education/Training Program
1276 GILBREATH DR
JOHNSON CITY, TN 37614
Washington County (615) 767-6506
ARIANNA BANTA
Student in an Organized Health Care Education/Training Program
1276 GILBREATH DR
JOHNSON CITY, TN 37614
Washington County (629) 395-6909

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 Katrina Taylor's NPI number?

The NPI number for Katrina Taylor is 1164171245. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Katrina Taylor located?

Katrina Taylor practices at 1276 Gilbreath Dr, Johnson City, TN 37614. The listed phone number is (423) 439-6210.

What is Katrina 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 Katrina Taylor enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Katrina Taylor was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.