Individual provider Active NPI

Stefani Taylor, FNP-C

  • Nurse Practitioner
  • Plano, TX
National Provider Identifier
1083069967
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP129613 Issued in TX
Practice address
6101 W Plano Pkwy # 100
Plano, TX 75093-8201
Phone
(214) 750-3614
NPI assigned
Apr 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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 AP129613 TX Primary

Addresses

Primary practice location

6101 W Plano Pkwy # 100
Plano, TX 75093-8201

Mailing address

6101 W Plano Pkwy Ste 100
Plano, TX 75093-8201
Phone (214) 750-3646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170303001119 TX Practitioner - Nurse Practitioner 4183908510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Dallas Neurosurgical Associates PAGroup PAC ID 1254386907, 15 clinicians

Practice addresses (Care Compare)

6101 W Plano Pkwy
Suite 100
Plano, TX 75093-8201
Phone (214) 750-3646

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP129613TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Neurosurgical Associates, P.a. CurrentSince Jul 7, 2021 Accepting new patients

Locations

7515 Greenville Ave
Ste 200
Dallas, TX 75231
Phone (214) 445-6970

6101 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (214) 750-3646

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 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": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1083069967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 W PLANO PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938201",
            "telephone_number": "214-750-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 W PLANO PKWY # 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938201",
            "telephone_number": "214-750-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "STEFANI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP129613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.