Individual provider Active NPI

Martha W Taylor, CNS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • North Bellmore, NY
National Provider Identifier
1093723710
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
305202 Issued in NY
Practice address
108 Linwood Ave
North Bellmore, NY 11710-2409
Phone
(516) 221-8924
Fax
(516) 783-8246
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 305202 NY Primary

Addresses

Primary practice location

108 Linwood Ave
North Bellmore, NY 11710-2409

Mailing address

108 Linwood Ave
North Bellmore, NY 11710-2409
Phone (516) 221-8924

Other identifiers 11

IdentifierTypeStateIssuer
076750OtherVALUE OPTIONS
190611OtherMHN
305202-A27OtherHEALTH FIRST
032097OtherCNS
2734122OtherCIGNA
7493800OtherGHI
54361OtherUNITED BEHAVIORAL HEALTH
03187139MedicaidNY
4633877OtherAETNA
29936OtherANTHEM
080860000OtherMAGELLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060405000099 NY Practitioner - Certified Clinical Nurse Specialist (CNS) 5193733921 Practice locations: N Bellmore, NY

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

108 Linwood Ave
N Bellmore, NY 11710-2409
Phone (516) 221-8924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1093723710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LINWOOD AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117102409",
            "telephone_number": "516-221-8924",
            "fax_number": "516-783-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LINWOOD AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117102409",
            "telephone_number": "516-221-8924",
            "fax_number": "516-783-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARTHA",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "305202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "076750",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "190611",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "305202-A27",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNS",
            "identifier": "032097",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2734122",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7493800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "54361",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03187139",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4633877",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "29936",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "080860000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bellmore, NY

Sources for this page

Verify at the official NPI Registry.