Mark Richard Taylor, ANRP, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60281164 Issued in WA

Practice address

22180 Olympic College Way NW
Suite 102
Poulsbo, WA 98370-6664

Phone

(360) 779-4444

Fax

(360) 697-2514

NPI assigned

Jun 10, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Harrison Medical Center

  • Urgent Care Clinic/Center
  • Port Orchard, WA
  • NPI 1679613244
  NPD (past)

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1023338233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 NE MATSON ST",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708461",
            "telephone_number": "360-626-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22180 OLYMPIC COLLEGE WAY NW",
            "address_2": "SUITE 102",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706664",
            "telephone_number": "360-779-4444",
            "fax_number": "360-697-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARK",
        "middle_name": "RICHARD",
        "credential": "ANRP, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-10",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201050082NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60281164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Nichole Szatkowski, D.O.
• Jack Ronald Tacker, M.D.
• Shannon June Tallon, MA
• Richard H. Tangen, DDS
• Grant Edward Taylor, D.C.
• Michael Testa, CNOR, RNFA
• Eric R Thanem, LMP
• The Atmosphere
• The Doctors Clinic a Professional Corporation
• The Greenawalt Dhaliwal LLP

• Family Nurse Practitioner in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.