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  7. NPI Record 1245830090

SHARAI NYCOLE TAYLOR MSW
Complete NPI Record 1245830090
Social Worker in Atlanta, GA

NPI Status: Active since October 30, 2020

Contact Information

341 PONCE DE LEON AVE NE
ATLANTA, GA
ZIP 30308
Phone: (404) 616-7749
Fax: (404) 616-9898

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Middle Name
  6. Provider Credential Text
  7. Provider First Line Business Mailing Address
  8. Provider Business Mailing Address City Name
  9. Provider Business Mailing Address State Name
  10. Provider Business Mailing Address Postal Code
  11. Provider Business Mailing Address Country Code If outside U S
  12. Provider Business Mailing Address Telephone Number
  13. Provider Business Mailing Address Fax Number
  14. Provider First Line Business Practice Location Address
  15. Provider Business Practice Location Address City Name
  16. Provider Business Practice Location Address State Name
  17. Provider Business Practice Location Address Postal Code
  18. Provider Business Practice Location Address Country Code If outside U S
  19. Provider Business Practice Location Address Telephone Number
  20. Provider Business Practice Location Address Fax Number
  21. Provider Enumeration Date
  22. Last Update Date
  23. Provider Gender Code
  24. Healthcare Provider Taxonomy Code 1
  25. Healthcare Provider Primary Taxonomy Switch 1
  26. Is Sole Proprietor
  27. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1245830090. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1245830090
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Entity Type Code: 1
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: SHARAI
The first name of the provider, if the provider is an individual.
Provider Middle Name: NYCOLE
The city name in the location address of the provider being identified.
Provider Credential Text: MSW
The State code in the location of the provider being identified.
Provider First Line Business Mailing Address: 80 JESSE HILL JR DR SE
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Mailing Address City Name: ATLANTA
The country code in the location address of the provider being identified.
Provider Business Mailing Address State Name: GA
The telephone number associated with the location address of the provider being identified.
Provider Business Mailing Address Postal Code: 303033050
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Mailing Address Country Code If outside U S : US
The date that a record was last updated or changed.
Provider Business Mailing Address Telephone Number: 4046167749
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Provider Business Mailing Address Fax Number: 4046169898
The first name of the authorized official.
Provider First Line Business Practice Location Address: 341 PONCE DE LEON AVE NE
The middle name of the authorized official.
Provider Business Practice Location Address City Name: ATLANTA
The title or position of the authorized official.
Provider Business Practice Location Address State Name: GA
The 10-position telephone number of the authorized official.
Provider Business Practice Location Address Postal Code: 303082012
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Business Practice Location Address Country Code If outside U S : US
Provider Business Practice Location Address Telephone Number: 4046167749
Provider Business Practice Location Address Fax Number: 4046169898
Provider Enumeration Date: 10/30/2020
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 10/30/2020
The date that a record was last updated or changed.
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 104100000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: N
NPI Certification Date: 10/30/2020