Active NPI
Pamela C Garner-Taylor, FNP
- Family Nurse Practitioner
- Round Rock, TX
National Provider Identifier
1083625974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP106596
- Practice address
- 2109 Monticello CT
Round Rock, TX 78665-5021 - Phone
- (281) 608-1566
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 571911 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP106596 | TX | Primary |
Addresses
Primary practice location
2109 Monticello CT
Round Rock, TX 78665-5021
Mailing address
2109 Monticello CT
Round Rock, TX 78665-5021
Phone (281) 608-1566
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00115X | Other | TX | GROUP PTAN |
| 2035487-01 | Other | TX | GROUP TPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP106596 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psych Dimensions Inc | Family | Past | Accepting new patients |
| .Sunstar Geriatrics Healthcare PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Georgetown, TX
- NPI 1033151428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1083625974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 MONTICELLO CT",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786655021",
"telephone_number": "281-608-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 MONTICELLO CT",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786655021",
"telephone_number": "281-608-1566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNER-TAYLOR",
"first_name": "PAMELA",
"middle_name": "C",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "571911",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP106596",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "00115X",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TPI",
"identifier": "2035487-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.