Provider Demographics
NPI:1962381574
Name:TAYLOR, MELODY LYNETTE I
Entity type:Individual
Prefix:MS
First Name:MELODY
Middle Name:LYNETTE
Last Name:TAYLOR
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4813 UNDERWOOD AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68132-2474
Mailing Address - Country:US
Mailing Address - Phone:712-833-5181
Mailing Address - Fax:
Practice Address - Street 1:4813 UNDERWOOD AVE APT 7
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68132-2474
Practice Address - Country:US
Practice Address - Phone:712-833-5181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant