Individual provider Active NPI

Lois Jane Taylor, CANP

  • Nurse Practitioner
  • Logansport, IN
National Provider Identifier
1053526269
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71001445A Issued in IN
Practice address
3400 E Market St
Logansport, IN 46947-2295
Phone
(574) 722-9366
Fax
(574) 722-5987
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71001445A IN Primary

Addresses

Primary practice location

3400 E Market St
Logansport, IN 46947-2295

Mailing address

3400 E Market St
Logansport, IN 46947-2295
Phone (574) 722-9366

Other identifiers 3

IdentifierTypeStateIssuer
200860400MedicaidIN
P00409786OtherINRAILROAD
000000548096OtherINBLUE CROSS

Other names 1

  • Ms. Lois Jane Taylor Professional 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
I20050803000767 IN Practitioner - Nurse Practitioner 6800824434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkview Logansport Hospital IncGroup PAC ID 8921500646, shared by 4 NPIs, 41 clinicians
Memorial HospitalGroup PAC ID 8123923281, 64 clinicians

Practice addresses (Care Compare)

3400 E Market St
Logansport, IN 46947-2295
Phone (574) 722-9633

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001445AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid State Logansport Ed Physicians Past Accepting new patients
Wabash Em I Medical Services PC Nurse Practitioner Past Accepting new patients

Organizations & group practices 3

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1053526269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E MARKET ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469472295",
            "telephone_number": "574-722-9366",
            "fax_number": "574-722-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E MARKET ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469472295",
            "telephone_number": "574-722-9366",
            "fax_number": "574-722-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LOIS",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "CANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001445A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200860400",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00409786",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000548096",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOIS",
            "last_name": "TAYLOR",
            "middle_name": "JANE",
            "prefix": "MS.",
            "credential": "CNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Logansport, IN

Sources for this page

Verify at the official NPI Registry.