Active NPI
Therese M. Taylor, CRNP
- Oncology Registered Nurse
- Erie, PA
National Provider Identifier
1093854572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Registered Nurse
- License
- TP007043B
- Practice address
- 104 East 2ND Street
Hamot Bariatric Surgery Center
Erie, PA 16507 - Phone
- (814) 877-6997
- Fax
- (814) 877-6356
- NPI assigned
- Feb 5, 2007
- 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 |
|---|---|---|---|---|
| Oncology Registered Nurse | 163WX0200X | RN502657L | PA | |
| Oncology Registered Nurse | 163WX0200X | TP007043B | PA | Primary |
Addresses
Primary practice location
104 East 2ND Street
Hamot Bariatric Surgery Center
Erie, PA 16507
Mailing address
717 State Street,
Suite 16 LL Regional Health Services, Inc
Erie, PA 16501-1360
Phone (814) 480-7100
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN502657L | PA | MD | Oncology Registered Nurse |
| TP007043B | PA | MD | Oncology Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236556800000",
"number": "1093854572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 STATE STREET,",
"address_2": "SUITE 16 LL REGIONAL HEALTH SERVICES, INC",
"city": "ERIE",
"state": "PA",
"postal_code": "165011360",
"telephone_number": "814-480-7100",
"fax_number": "814-480-7604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 EAST 2ND STREET",
"address_2": "HAMOT BARIATRIC SURGERY CENTER",
"city": "ERIE",
"state": "PA",
"postal_code": "16507",
"telephone_number": "814-877-6997",
"fax_number": "814-877-6356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "THERESE",
"middle_name": "M.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2009-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Oncology",
"state": "PA",
"license": "RN502657L",
"primary": false
},
{
"code": "163WX0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Oncology",
"state": "PA",
"license": "TP007043B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.