TAYLOR TRULL (NPI# 1184271223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184271223 |
| Entity Type | Individual |
| Full Name | TAYLOR TRULL |
| Credential | PA-C |
| Practice Address |
2435 Forest Dr Columbia SC 29204-2026 |
| Mailing Address |
336 Eagle Feather Loop Columbia SC 29206-5090 |
| Practice Telephone | 9316192474 |
| Mailing Telephone | 9316192474 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2435 FOREST DR |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003811290 | Providence Hospital, LLC | General Acute Care Hospital | 2435 Forest Dr, Columbia, SC 29204-2026 | 2005-06-15 |
| 1336794262 | Jillian Janss | Physical Therapist | 2435 Forest Dr, Columbia, SC 29204-2026 | 2019-08-07 |
| 1962063115 | Meagan Kirkley Wall | Nurse Anesthetist, Certified Registered | 2435 Forest Dr, Columbia, SC 29204-2026 | 2019-06-27 |
| 1003376757 | Abigail Gottshall | Dietitian, Registered | 2435 Forest Dr, Columbia, SC 29204-2026 | 2019-03-20 |
| 1053875120 | Smita Patel | Specialist/Technologist, Other | 2435 Forest Dr, Columbia, SC 29204-2026 | 2019-01-23 |
| 1538662556 | Prunetta Brunson | Nurse Practitioner | 2435 Forest Dr, Columbia, SC 29204-2026 | 2018-03-15 |
| 1164925863 | Sheltana Michelle Hipps | Nurse Practitioner | 2435 Forest Dr, Columbia, SC 29204-2026 | 2018-03-09 |
| 1154841021 | Broad River Physicians Group, LLC | Emergency Medicine | 2435 Forest Dr, Columbia, SC 29204-2026 | 2017-06-22 |
| 1659818599 | Providence Professional Services LLC | Emergency Medicine | 2435 Forest Dr, Columbia, SC 29204-2026 | 2017-01-30 |
| 1427418318 | Providence Hospital LLC | Physical Therapist | 2435 Forest Dr, Columbia, SC 29204-2026 | 2016-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392495 | Stephanie Meyer | Physician Assistant | 5 Medical Park Road Palmetto Health, Columbia, SC 29203 | 2017-12-18 |
| 1629434279 | Jennifer Templeton | Physician Assistant | 110 Highland Center Drive, Columbia, SC 29203 | 2016-01-12 |
| 1184023871 | Candace Parker Fleming | Physician Assistant | 109 W Legion Ave, Columbia, IL 62236-2341 | 2014-08-19 |
| 1194147470 | Frederick Parker | Physician Assistant | 9 Richland Medical Park Drive, Suite 450, Columbia, SC 29203 | 2014-01-06 |
| 1780999037 | Spectrum Pain Clinics, Inc | Physician Assistant | 230 East James Campbell Blvd, Suite 102, Columbia, TN 38401 | 2010-08-11 |
| 1770728834 | Joan Chandler Hornick | Physician Assistant | 2 Medical Park Rd Ste 404, Columbia, SC 29203-6875 | 2008-12-03 |
| 1164683926 | Kimberly Shirk | Physician Assistant | 612 Saint Andrews Rd Ste 2, Columbia, SC 29210-5120 | 2008-06-24 |
| 1295869485 | Karen Traynham | Physician Assistant | 303 N Keene St Ste 301, Columbia, MO 65201-7193 | 2007-03-16 |
| 1508926817 | Nina D Garcia | Physician Assistant | 8850 Columbia 100 Pkwy Ste 316, Columbia, MD 21045-2377 | 2006-12-11 |
| 1467526418 | Tamenia Bluford Bluford | Physician Assistant | 4 N Bay Xing, Columbia, SC 29229-7507 | 2006-11-20 |
| Find all providers in COLUMBIA | ||||
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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.