Provider Demographics
NPI:1528872082
Name:PARRISH, TAYLOR (RDN, LD)
Entity type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:
Last Name:PARRISH
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4160 W SOLSTICE PATH
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:IN
Mailing Address - Zip Code:46157-0009
Mailing Address - Country:US
Mailing Address - Phone:317-719-5457
Mailing Address - Fax:
Practice Address - Street 1:575 RILEY HOSPITAL DR # XE070
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5272
Practice Address - Country:US
Practice Address - Phone:317-944-9902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
37003220A133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered