Individual provider Active NPI

Ligia J Taylor, NURSE PRACTITIONER

  • Nurse Practitioner
  • Fort Leavenworth, KS
National Provider Identifier
1013174317
Registry record updated Dec 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
347629-4405 Issued in UT
Practice address
132 Harry Bell Rd
Fort Leavenworth, KS 66027-1126
Phone
(417) 655-0627
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 347629-4405 UT Primary
Nurse Practitioner 363L00000X 53-75567-051 KS

Addresses

Primary practice location

132 Harry Bell Rd
Fort Leavenworth, KS 66027-1126

Mailing address

132 Harry Bell Rd
Fort Leavenworth, KS 66027-1126
Phone (417) 655-0627

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ltaylor570493@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080722000143 UT Practitioner - Nurse Practitioner 6406929603 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-75567-051KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Pediatric Behavioral Health Services CurrentSince Sep 20, 2022 Accepting new patients
University of Utah Behavioral Health Services Psychiatry Current Accepting new patients
Salt Lake Behavioral Health, LLC CurrentSince Jul 11, 2016 Accepting new patients
University of Utah Behavioral Health Services Psychiatry CurrentSince Sep 20, 2022 Accepting new patients
Salt Lake Behavioral Health, LLC CurrentSince Jul 11, 2016 Accepting new patients
University of Utah Behavioral Health Services CurrentSince Sep 20, 2022 Accepting new patients
University of Utah Pediatric Behavioral Health Services Current Accepting new patients
University of Utah Pediatric Behavioral Health Services CurrentSince Sep 20, 2022 Accepting new patients
Utah Valley Emergency Physicians Inc PastSince Dec 15, 2019 Accepting new patients

Locations

501 S Chipeta Way
Slc, UT 84108
Phone (801) 581-7951

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

3802 S 700 E
South Salt Lake, UT 84106
Phone (801) 264-6000

Interoperability endpoints

  • Direct secure messaging: ligia.taylor.1@16923.direct.athenahealth.com
  • Direct secure messaging: ltaylor570493@direct.med.utah.edu

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670025600000",
    "number": "1013174317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 HARRY BELL RD",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660271126",
            "telephone_number": "417-655-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 HARRY BELL RD",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660271126",
            "telephone_number": "417-655-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LIGIA",
        "middle_name": "J",
        "name_prefix": "Miss",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2022-12-03",
        "certification_date": "2022-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "347629-4405",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-75567-051",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ltaylor570493@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Leavenworth, KS

Sources for this page

Verify at the official NPI Registry.