NPIMap

Individual provider Active NPI

Jennifer L Taylor, A.P.R.N.

  • Nurse Practitioner
  • Hebron, CT
National Provider Identifier
1104860642
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
002986 Issued in CT
Practice address
23 Liberty Dr
Suite a
Hebron, CT 06248-1553
Phone
(860) 228-1119
Fax
(860) 228-4314
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke University Affiliated Physicians, Inc. 452 clinicians

Practice addresses (Care Compare)

540 New Waverly PL
Suite 200
Cary, NC 27518-7422
Phone (919) 954-4159

Hospital & facility affiliations

  • Duke University Hospital Hospital, Durham, NC, CCN 340030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20160725002343 NC Practitioner - Nurse Practitioner 3779521711 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002986CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Jul 11, 2016 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc CurrentSince Jul 11, 2016 Accepting new patients
Hebron Family Physicians LLC Family Medicine Past Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Past Accepting new patients
Hartford Healthcare Medical Group, Inc Past Accepting new patients

Locations

540 New Waverly Pl
Ste 200
Cary, NC 27518
Phone (919) 324-3026

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1862

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

7021 Harps Mill Rd
Raleigh, NC 27615
Phone (919) 823-5446

Interoperability endpoints

  • Direct secure messaging: jtaylor272045@direct.medicine.duke.edu

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 002986 CT
Nurse Practitioner 363L00000X 002986 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

23 Liberty Dr
Suite a
Hebron, CT 06248-1553

Mailing address

23 Liberty Dr
Suite a
Hebron, CT 06248-1553
Phone (860) 228-1119

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
004253019MedicaidCT

Other names 1

NPPES NPI Registry
  • Jennifer Lavoie Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 22, 2014.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1104860642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 LIBERTY DR",
            "address_2": "SUITE A",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481553",
            "telephone_number": "860-228-1119",
            "fax_number": "860-228-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 LIBERTY DR",
            "address_2": "SUITE A",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481553",
            "telephone_number": "860-228-1119",
            "fax_number": "860-228-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "002986",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "002986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004253019",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LAVOIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hebron, CT

Sources for this page

Verify at the official NPI Registry.