Individual provider Active NPI

Sue Ann Taylor, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Natchitoches, LA
National Provider Identifier
1033952247
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP237687 Issued in LA
Practice address
501 Keyser Ave
Natchitoches, LA 71457-6018
Phone
(318) 214-4380
NPI assigned
Jun 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP237687 LA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X AP237687 LA

Addresses

Primary practice location

501 Keyser Ave
Natchitoches, LA 71457-6018

Mailing address

501 Keyser Ave
Natchitoches, LA 71457-6018
Phone (318) 214-4380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20241217001210 LA Practitioner - Nurse Practitioner 6608303524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Mental Health MD, LLCGroup PAC ID 7911056742, 16 clinicians

Practice addresses (Care Compare)

6410 Masonic Dr
Alexandria, LA 71301-2319
Phone (318) 442-3163

Hospital & facility affiliations

  • Opelousas General Health System Hospital, Opelousas, LA, CCN 190017
  • Natchitoches Regional Medical Center Hospital, Natchitoches, LA, CCN 190007
  • York Hospital Hospital, York, ME, CCN 200020
  • Savoy Medical Center Hospital, Mamou, LA, CCN 190025
  • Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP237687LAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Mental Health MD, LLC CurrentSince Dec 11, 2024 Accepting new patients

Locations

6410 Masonic Dr
Alexandria, LA 71301
Phone (318) 442-3163

Organizations & group practices 1

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 10

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": "1718409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1033952247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 KEYSER AVE",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576018",
            "telephone_number": "318-214-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 KEYSER AVE",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576018",
            "telephone_number": "318-214-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SUE",
        "middle_name": "ANN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-15",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP237687",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP237687",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

Verify at the official NPI Registry.