Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205636057 Individual Practitioner

Trevena Taylor

Licensed Practical Nurse • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Trevena Taylor is a registered healthcare professional specializing in Licensed Practical Nurse in Bronx, NY. Practice services are available at 1500 WATERS PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 Waters Pl

Bronx, NY 104612723

Telephone 7189310600
Associated Practice Facility / Clinic
🏢 Bronx State Hospital Facility NPI 1215010988

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
1838 Specialists

Practicing in Bronx, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-18
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 286978

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1043335870
Mohammad Rahman

Internal Medicine

NPI 1063537967
Georgina Macario

Psychiatry & Neurology - Psychiatry

NPI 1083739981
NPI 1093313462

Registered Nurse

Gheorghe Ciumpavu

Psychiatry & Neurology - Psychiatry

NPI 1114042942
Joshua Varughese

Registered Nurse - Psychiatric/Mental Health

NPI 1114892155

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 18, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location March 18, 2025

Registered at 1500 WATERS PL, BRONX, NY 104612723 (Tel: 7189310600)

📍
Updated Business Mailing Address March 18, 2025

Registered at 1241 BOYNTON AVE # 1, BRONX, NY 104722401 (Tel: 6463162408)

👤
Provider Name / Credentials Updated March 18, 2025

Recorded as TREVENA TAYLOR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2025

Licensed Practical Nurse (License #286978 in NY)

🟢
Initial NPI Registration & Enumeration March 18, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205636057
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2025
Last Update: March 18, 2025
Sole Proprietor: Yes

Mailing Address

1241 Boynton Ave # 1

Bronx, NY 104722401

Phone: 6463162408

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.