MEDICARE: MRS. MISTY SHAY TAYLOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1316388135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MISTY SHAY TAYLOR

Provider Business Mailing Address
First Line	:	6912 STATE ROUTE 348
Second Line	:
City	:	BLUE CREEK
State	:	OH
Zip	:	45616-9029
Country	:	US
Telephone Number	:	937-798-1645
Fax Number	:

Provider Business Practice Location Address
First Line	:	6912 STATE ROUTE 348
Second Line	:
City	:	BLUE CREEK
State	:	OH
Zip	:	45616-9029
Country	:	US
Telephone Number	:	937-798-1645
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2013
Last Update Date	:	07/09/2013

Similar Medicare Providers

1669011060 — MILESTONES THERAPY INC
Practice Location Address:

4200 N PEBBLE CREEK PKWY APT 2072
GOODYEAR, AZ
85395-9029

Practice Phone: 815-603-8637
Practice Fax:

1235272808 — MRS. CHERI LEA BALDWIN
Practice Location Address:

2717 CEDAR MILLS RD
BLUE CREEK, OH
45616-9750

Practice Phone: 937-587-5459
Practice Fax:

1619203643 — MRS. DEVEONNA KOENIG LPN
Practice Location Address:

1900 CASSEL RUN RD
BLUE CREEK, OH
45616-9795

Practice Phone: 937-544-8829
Practice Fax:

1548597909 — MRS. SANDRA CHRISTINE HANSON RN
Practice Location Address:

5363 SR 348
BLUE CREEK, OH
45616-9723

Practice Phone: 937-544-2006
Practice Fax:

1790093532 — LAURA MELESE STRICKLAND RN
Practice Location Address:

2331 CEDAR MILLS RD
BLUE CREEK, OH
45616-9713

Practice Phone: 937-587-5090
Practice Fax:

1356634000 — MRS. TARA LYNN HAWES LPN
Practice Location Address:

1773 WHITE OAK RD
BLUE CREEK, OH
45616-9028

Practice Phone: 937-587-1545
Practice Fax:

Directions to “ MRS. MISTY SHAY TAYLOR ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.