Destry Taylor, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

248513 Issued in NC

Practice address

107 Conner Dr
Chapel Hill, NC 27514-7111

Phone

(919) 951-7600

Fax

(919) 929-8474

NPI assigned

Jun 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: destry.taylor.1@31840.direct.athenahealth.com

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.

• David Young Oh, LLC

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1386175602

  Family

  NPD (past)
• Piedmont Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Carrboro, NC
  • NPI 1164526109
  NPD (past)

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1104265891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CONNER DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147111",
            "telephone_number": "919-951-7600",
            "fax_number": "919-929-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CONNER DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147111",
            "telephone_number": "919-951-7600",
            "fax_number": "919-929-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DESTRY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "248513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Davies-Ludlow Tawil, DDS
• Peter Z Tawil, DMD
• Paul J Tawney, MD
• Taylor Starns Psychotherapy & Consulting, PLLC
• Austria Taylor
• Genevieve Louise Taylor, MD
• Keith Allen Taylor, DDS
• Rebecca Victoria Taylor, M.D.
• Savannah Joy Taylor
• Latisha Hendricks Teachey, MSW, LCASA

• Family Nurse Practitioner in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.