DR. NIKKI TINAY TAYLOR MD
NPI 1194475236
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Nikki Taylor's NPI number?

The NPI number for Nikki Taylor is 1194475236. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Q: What is Nikki Taylor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nikki Taylor was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since March 23, 2022PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-7317 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Nikki Tinay Taylor Md NPPES

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

DR. NIKKI TINAY TAYLOR MD (NPI 1194475236) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194475236

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. NIKKI TINAY TAYLORCredential: MD

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address3075 W Grand Blvd Apt 507Detroit, MI 48202-3170 · (313) 671-2582

Phone(313) 916-7317

Sole ProprietorNo

Enumeration DateMarch 23, 2022

Last NPPES UpdateOctober 25, 2024

NPPES CertifiedOctober 25, 2024

✔ NPI 1194475236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 4301513139 (MI)

2799 W GRAND BLVD, Detroit, MI 48202

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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)

Dr. Nikki Tinay 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.

HENRY FORD HOSPITAL

General Acute Care Hospital