Phyllis Ann Taylor, APNC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

7153 Issued in TN

Practice address

8598 Highway 22
Dresden, TN 38225-2308

Phone

(731) 364-5675

Fax

(731) 364-2870

NPI assigned

Sep 9, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charles a. Walker Dba Walker Pain Management Centers

  • Specialist
  • Paris, TN
  • NPI 1184007742
  NPD (past)
• Jackson Clinic PA

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1285629386
  NPD (past)
• Jackson Clinic PA

  • Durable Medical Equipment & Medical Supplies
  • Jackson, TN
  • NPI 1689443038
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1003800616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371110640",
            "telephone_number": "931-507-1212",
            "fax_number": "931-507-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8598 HIGHWAY 22",
            "city": "DRESDEN",
            "state": "TN",
            "postal_code": "382252308",
            "telephone_number": "731-364-5675",
            "fax_number": "731-364-2870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 University St",
            "address_purpose": "LOCATION",
            "city": "Martin",
            "state": "TN",
            "postal_code": "382371605",
            "country_code": "US",
            "telephone_number": "731-588-5829",
            "fax_number": "731-588-5834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "PHYLLIS",
        "middle_name": "ANN",
        "credential": "APNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "RN104363",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000007153",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "7153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Springer
• State of Tennessee
• Samuel Sulcer, PHARMD
• Support Services LLC
• Jennifer Lee Taylor, LPN
• Sandra Taylor
• Tennessee CVS Pharmacy LLC
• Kimberly Darlene Terrett, RN
• Caitlin Tucker
• Cesar Jonas S Veloso

• All providers in Dresden, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.