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Taylor Lynn Headley , LPN

Licensed Practical Nurse β€’ Boardman, OH

Active NPI 1548095102 Individual Practitioner Female Practitioner
Practice location in NPPES

930 Trailwood Dr
Boardman, OH 445125007

Call 8335104357 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

930 Trailwood Dr

Boardman, OH 445125007

Telephone 8335104357
Fax 8664602997
Organization at the Same NPPES Address or Phone
Adaptive Biomechanical Innovations Facility NPI 1316006364

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 Niles, OH. 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

2024

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

Compared with the same specialty in Boardman and Ohio

36 active clinicians are listed under Licensed Practical Nurse with a practice address in Boardman, OH (12,649 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Boardman

0% of these 36 clinicians have the CMS telehealth indicator.

0% of these 36 clinicians are listed by CMS as accepting Medicare assignment.

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: 2026-07-28
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH LPN.183460.MEDS-IV

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.

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: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

336 Vienna Ave

Niles, OH 444462628

Phone: 2345443322

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Wendy Brandeberry , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033828389

Advanced Practice Registered Nurse

Joann Carroll , APRN

Nurse Practitioner - Family

NPI 1033569199

Advanced Practice Registered Nurse

Kellie Clay

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043766769
Deidra Combs , PA-C

Physician Assistant

NPI 1033701131

Physician Assistant (Certified)

Stacy Jarrett , APRN

Nurse Practitioner - Family

NPI 1013504588

Advanced Practice Registered Nurse

Alaina Nevels , APRN

Nurse Practitioner - Family

NPI 1013460526

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location July 28, 2026

Registered at 930 TRAILWOOD DR, BOARDMAN, OH 445125007 (Tel: 8335104357)

πŸ“
Updated Business Mailing Address July 28, 2026

Registered at 4600 MONTGOMERY RD STE 400, CINCINNATI, OH 452122600

βœ…
NPI Profile Active September 04, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 04, 2024

Registered at 336 VIENNA AVE, NILES, OH 444462628 (Tel: 2345443322)

πŸ“
Business Mailing Address (Initial Record) September 04, 2024

Registered at 3606 NEWGARDEN RD, SALEM, OH 444609506 (Tel: 3302711237)

πŸ‘€
Provider Name / Credentials (Initial Record) September 04, 2024

Recorded as TAYLOR HEADLEY, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2024

Licensed Practical Nurse (license number reported to NPPES: OH LPN.183460.MEDS-IV)

🟒
Initial NPI Registration & Enumeration September 04, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1548095102
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2024
Last Update: July 28, 2026
Sole Proprietor: No

Mailing Address

4600 Montgomery Rd Ste 400

Cincinnati, OH 452122600

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.