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Desiree Traylor

Physician β€’ Winter Garden, FL

Active NPI 1518339134 Individual Practitioner Female Practitioner
Practice location in NPPES

1327 Winter Garden Vineland Rd Ste 120
Winter Garden, FL 347874363

Call 4072491234 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1327 Winter Garden Vineland Rd Ste 120

Winter Garden, FL 347874363

Telephone 4072491234
Organization at the Same NPPES Address or Phone
Saltzman, Tanis, Pittel, Levin And Jacobson, Llc Facility NPI 1083363774

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Eustis, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-12-27
Community/Behavioral Health Primary Specialty

NUCC Taxonomy Code: 251S00000X

License # reported to NPPES FL IMH13929

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Secondary Practice Locations

800 S Eustis St Ste E

Eustis, FL 327264886

Phone: 3527291860

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location December 27, 2023

Registered at 1327 WINTER GARDEN VINELAND RD STE 120, WINTER GARDEN, FL 347874363 (Tel: 4072491234)

πŸ“
Updated Business Mailing Address December 27, 2023

Registered at 5838 SOTER LN, WINDERMERE, FL 347867472 (Tel: 4074911993)

πŸ‘€
Provider Name / Credentials Updated December 27, 2023

Recorded as DESIREE TRAYLOR

βœ…
NPI Profile Active October 22, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 22, 2015

Registered at 800 S EUSTIS ST STE E, EUSTIS, FL 327264886 (Tel: 3527291860)

πŸ“
Business Mailing Address (Initial Record) October 22, 2015

Registered at 711 CLIMBING OAKS CT, WINTER GARDEN, FL 347872016 (Tel: 4074911993)

πŸ‘€
Provider Name / Credentials (Initial Record) October 22, 2015

Recorded as DESIREE TRAYLOR MCKENZIE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2015

Community/Behavioral Health (license number reported to NPPES: FL IMH13929)

🟒
Initial NPI Registration & Enumeration October 22, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1518339134
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 22, 2015
Last Update: December 27, 2023
Sole Proprietor: Yes

Mailing Address

5838 Soter Ln

Windermere, FL 347867472

Phone: 4074911993

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.