Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heather Raye Taylor

Individual provider Physician Assistant · NPI 1649149998

Heather Raye Taylor is a Physician Assistant in Fort Gibson, Oklahoma. Qualified in 2025, 1 year ago. Practices with Warren Clinic Inc, a 772-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
1
Licensed in
OK
In the registry since
2025

Practice location Address checks out

108 Lone Oak Cir
Fort Gibson, OK 74434-5001
Phone: (918) 478-6005
Fax: (918) 478-6020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5793 (OK)

Record details

NPI number1649149998
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 4, 2025
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026
Mailing address802 Cromwell Pl, Muskogee, OK 74403-2130

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Warren Clinic Inc — 772 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount