Individual provider Active NPI

Taylor Fruth, NP

  • Family Nurse Practitioner
  • New Castle, IN
National Provider Identifier
1023769767
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012100A Issued in IN
Practice address
798 N 16TH St
New Castle, IN 47362-4142
Phone
(765) 521-1500
NPI assigned
Jan 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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 71012100A IN Primary

Addresses

Primary practice location

798 N 16TH St
New Castle, IN 47362-4142

Mailing address

PO Box 485
New Castle, IN 47362-0485
Phone (765) 599-3534

Other names 1

  • Taylor Lightfoot Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20230130001489 IN Practitioner - Nurse Practitioner 7416328455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Memorial HospitalGroup PAC ID 6002724085, 153 clinicians

Practice addresses (Care Compare)

798 N 16TH St
Integrative Well Being
New Castle, IN 47362-4142
Phone (765) 599-3533

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Memorial Hospital Family CurrentSince Jan 1, 2023 Accepting new patients
Henry County Memorial Hospital Family Current Accepting new patients
Henry County Memorial Hospital CurrentSince Jan 1, 2023 Accepting new patients
Heritage House of Richmond Past Accepting new patients

Locations

2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385

152 Wittenbraker Ave
New Castle, IN 47362
Phone (765) 521-1483

798 N 16th St
New Castle, IN 47362
Phone (765) 529-5147

1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1023769767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473620485",
            "telephone_number": "765-599-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 N 16TH ST",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473624142",
            "telephone_number": "765-521-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUTH",
        "first_name": "TAYLOR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012100A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "LIGHTFOOT",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Castle, IN

Sources for this page

Verify at the official NPI Registry.