Chameka I Taylor, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

202202706NP-PP Issued in OR

Practice address

5329 NE MLK Jr Blvd
Portland, OR 97211-3237

Phone

(503) 988-5558

NPI assigned

Sep 24, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Chameka I Taylor Professional name

Medicare fee-for-service enrollment

Enrolled in OR, WA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fanno Creek Clinic LLCGroup PAC ID 0042100521, 24 clinicians

Sokyahealth Medical Group PCGroup PAC ID 9739575648, 68 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chameka.taylor.p1@direct.sokya.nextgenshare.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.

• Fanno Creek Clinic LLC

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1609876705
  Medicare reassignment Care Compare group NPD
• Sokyahealth Medical Group PC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1447842232

  Psychiatric/Mental Health, WA

  Medicare reassignment Care Compare group NPD
• Maxem Health Urgent Care Lake Oswego

  • Urgent Care Clinic/Center
  • Lake Oswego, OR
  • NPI 1902478225
  Medicare reassignment NPD
• Impact Physician Group, LLC

  • Internal Medicine Physician
  • Peachtree City, GA
  • NPI 1114428612

  OR

  Medicare reassignment NPD
• J M Geiss DO Apc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1063825289

  OR

  Medicare reassignment NPD
• Senior Doc Oregon, PC

  • Family Medicine Physician
  • Orange, CA
  • NPI 1063192029

  OR

  Medicare reassignment NPD
• Sondermind, P.a.

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1710647581

  OR, Psychiatric/Mental Health

  Medicare reassignment NPD
• Shashita Inamdar MD Professional Corporation

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1902220809
  NPD (past)

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1104597525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17742",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381870742",
            "telephone_number": "901-326-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5329 NE MLK JR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113237",
            "telephone_number": "503-988-5558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "TN",
            "postal_code": "380689716",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5821 Park Ave Unit 17742",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381870090",
            "country_code": "US",
            "telephone_number": "901-326-9472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHAMEKA",
        "middle_name": "I",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30579",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202202706NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202202706NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAMEKA",
            "last_name": "TAYLOR",
            "middle_name": "I",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brad Taylor
• Brittney Taylor, RN
• Canada Lauren Taylor
• Carolyn Taylor, LMT
• Cassandra Eileen Taylor, CADC-R
• Christina Lynn Taylor, CADC-R
• Christine Taylor
• Claudia P Taylor, M.D.
• Colleen Elizabeth Taylor, LAC LMT
• Cornelia Taylor, MD

• Family Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.