Individual provider Active NPI

Jennifer L Taylor, FNP-BC

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1013357615
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R807373 Issued in MS
Practice address
830 S Gloster St
Tupelo, MS 38801-4934
Phone
(205) 412-0585
NPI assigned
Jun 27, 2013
Last updated
Jun 27, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R807373 MS Primary

Addresses

Primary practice location

830 S Gloster St
Tupelo, MS 38801-4934

Mailing address

830 S Gloster St
Tupelo, MS 38801-4934
Phone (205) 412-0585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130827000864 MS Practitioner - Nurse Practitioner 4486897139 Reassigns benefits to 2 organizations
I20171013002408 AL Practitioner - Nurse Practitioner 4486897139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1002 E Madison St
Houston, MS 38851-2428
Phone (662) 456-3700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.47 of 100Reported as group
Quality
70.54
Promoting interoperability
100
Improvement activities
40
Cost
77.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R807373MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Center of North Central Alabama Inc. CurrentSince Jun 1, 2022 Accepting new patients
Amory Urgent Care, LLC CurrentSince Apr 20, 2015 Accepting new patients
Relias Emergency Medicine Specialists of Hamilton, LLC CurrentSince Feb 12, 2024 Accepting new patients
Progressive Health of Houston, LLC CurrentSince Nov 25, 2024 Accepting new patients
Donald P. McCurdy, MD, PC PastSince Jul 15, 2017 Accepting new patients

Locations

1307 E Elm St
Athens, AL 35611
Phone (256) 232-3661

1316 Somerville Rd SE
Ste 1
Decatur, AL 35601
Phone (256) 260-7361

4110 US Highway 31 S
Decatur, AL 35603
Phone (256) 260-7360

1256 Military St S
Hamilton, AL 35570
Phone (205) 921-6200

906 Highway 278 E
Amory, MS 38821
Phone (662) 200-8464

1002 E Madison St
Houston, MS 38851
Phone (601) 456-3701

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7547/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1013357615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934",
            "telephone_number": "205-412-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934",
            "telephone_number": "205-412-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R807373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.