Individual provider Active NPI

Anne Taylor, NP

  • Family Medicine Physician
  • Ashland, OR
National Provider Identifier
1104497494
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
202106304NP Issued in OR
Practice address
935 Siskiyou Blvd
Ashland, OR 97520-2198
Phone
(541) 482-2716
Fax
(541) 488-5461
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 202106304NP OR Primary

Addresses

Primary practice location

935 Siskiyou Blvd
Ashland, OR 97520-2198

Mailing address

935 Siskiyou Blvd
Ashland, OR 97520-2198
Phone (541) 482-2716

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Ashland

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20210830002954 OR Practitioner - Nurse Practitioner 2466858451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ashland Family Practice LLCGroup PAC ID 6305192543, 4 clinicians

Practice addresses (Care Compare)

935 Siskiyou Blvd
Ashland, OR 97520-2143
Phone (541) 488-4216

Hospital & facility affiliations

  • Asante Ashland Community Hospital Hospital, Ashland, OR, CCN 380005
  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202106304NPORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Family Practice LLC Family Medicine CurrentSince Aug 10, 2021 Accepting new patients

Locations

935 Siskiyou Blvd
Ashland, OR 97520
Phone (541) 482-2716

Interoperability endpoints

  • Direct secure messaging: anne.taylor.1@24414.direct.athenahealth.com

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 2

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": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1104497494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 SISKIYOU BLVD",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202198",
            "telephone_number": "541-482-2716",
            "fax_number": "541-488-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 SISKIYOU BLVD",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202198",
            "telephone_number": "541-482-2716",
            "fax_number": "541-488-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "202106304NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ashland",
            "affiliation": "N",
            "address_1": "935 Siskiyou Blvd",
            "city": "Ashland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975202198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.