Individual provider Active NPI

Elizabeth Taylor, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1073051827
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3241082 Issued in FL
Practice address
1800 Pembrook Dr Ste 300
Orlando, FL 32810-6378
Phone
(407) 814-4466
Fax
(321) 900-4668
NPI assigned
Feb 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 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 ARNP3241082 FL Primary

Addresses

Primary practice location

1800 Pembrook Dr Ste 300
Orlando, FL 32810-6378

Mailing address

1626 W Orange Blossom TRL # 1041
Apopka, FL 32712-2641
Phone (407) 814-4466

Other practice location 1

515 N Park Ave Ste 210B
Apopka, FL 32712-3634
Phone (407) 814-4466

Other identifiers 1

IdentifierTypeStateIssuer
114384700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CT2 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
I20170509000943 FL Practitioner - Nurse Practitioner 9133406713 Reassigns benefits to 4 organizations
I20200501001304 CT Practitioner - Nurse Practitioner 9133406713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Volusia Family and Sports Medicine IncGroup PAC ID 1456483098, 11 clinicians
Norman S Novis MD PAGroup PAC ID 6204080146, 4 clinicians

Practice addresses (Care Compare)

1639 N Volusia Ave
Orange City, FL 32763-3843
Phone (386) 774-0016

1800 Pembrook Dr
Suite 300
Orlando, FL 32810-6378
Phone (407) 814-4466

801 Hwy 466
Suite B101
Lady Lake, FL 32159-3925
Phone (352) 633-7649

Hospital & facility affiliations

  • Adventhealth Deland Hospital, Deland, FL, CCN 100045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8744CTMDClinical Social Worker
ARNP3241082FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Volusia Family and Sports Medicine Inc CurrentSince Dec 5, 2024 Accepting new patients
Norman S Novis MD PA CurrentSince Feb 15, 2017 Accepting new patients
Family Health Primary Care Providers, LLC Family CurrentSince Feb 24, 2022 Accepting new patients
Ormond Medical Arts Family Practice LLC CurrentSince Sep 13, 2021 Accepting new patients
Hartford Healthcare Medical Group, Inc CurrentSince Dec 1, 2020 Accepting new patients

Locations

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1626 W Orange Blossom Trl
Apopka, FL 32712
Phone (407) 426-3139

739 S Spring Garden Ave
Deland, FL 32720
Phone (386) 774-0016

1590 S State Road 15A
Deland, FL 32720
Phone (386) 734-9400

1590 S State Road 15A
#100
Deland, FL 32720
Phone (386) 774-0016

1590 S State Road 15A
Ste 100
Deland, FL 32720
Phone (386) 774-0016

999 W Plymouth Ave
Deland, FL 32720
Phone (386) 740-7080

801 Highway 466
Ste B101
Lady Lake, FL 32159
Phone (352) 459-8121

2884 Wellness Ave
Ste 200
Orange City, FL 32763
Phone (386) 774-0016

1639 N Volusia Ave
Orange City, FL 32763
Phone (386) 774-7226

1639 N Volusia Ave
#B
Orange City, FL 32763
Phone (386) 775-2012

3564 E Avalon Park Blvd
Ste 1
Orlando, FL 32828
Phone (305) 842-4947

1800 Pembrook Dr
Ste 300
Orlando, FL 32810
Phone (321) 200-4489

77 W Granada Blvd
Ormond Beach, FL 32174
Phone (386) 677-0453

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHACDD/Endpoint/BHACDD
  • FHIR API: https://api.platform.athenahealth.com/1579/brand/8/csg/141/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/GJGIBD

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 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": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1073051827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 W ORANGE BLOSSOM TRL # 1041",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327122641",
            "telephone_number": "407-814-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PEMBROOK DR STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328106378",
            "telephone_number": "407-814-4466",
            "fax_number": "321-900-4668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 N Park Ave Ste 210B",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327123634",
            "country_code": "US",
            "telephone_number": "407-814-4466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3241082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114384700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.