NPIMap

Individual provider Active NPI

Alan R. Taylor, PA-C

  • Home Health Clinical Nurse Specialist
  • Eddystone, PA
National Provider Identifier
1104898352
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X
License
MA051310 Issued in PA
Practice address
1510 Chester Pike
Suite 130
Eddystone, PA 19022-1375
Phone
(610) 521-6063
Fax
(610) 521-0163
NPI assigned
Feb 2, 2006
Last updated
May 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA051310 PA
Surgical Physician Assistant 363AS0400X MA051310 PA
Physician Assistant 363A00000X 25MP00106500 NJ
Home Health Clinical Nurse Specialist 364SH0200X MA051310 PA Primary
Medical Physician Assistant 363AM0700X PA9103970 FL
Physician Assistant 363A00000X C5-0000804 DE

Addresses

Primary practice location

1510 Chester Pike
Suite 130
Eddystone, PA 19022-1375

Mailing address

1510 Chester Pike
Suite 130
Eddystone, PA 19022-1375
Phone (610) 521-6063

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001256 PA Practitioner - Physician Assistant 1850385493 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Kimberton Clinic,IncGroup PAC ID 6507027117, 5 clinicians

Practice addresses (Care Compare)

1375 Hares Hill Rd
Kimberton, PA 19442-0447
Phone (610) 933-0708

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Kimberton Clinic,Inc CurrentSince Sep 1, 2025 Accepting new patients
Richard G. Schmidt M.D. P.C. Past Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Physician Assistant Past Accepting new patients
Lyceum Chiropractic, P.C. Past Accepting new patients
Taylored Home Health Care Past Accepting new patients
Atlantic Physician Services of Maryland, P.C. Physician Assistant Past Accepting new patients
Bala Cardiovascular Consultants, P.C. Past Accepting new patients
At Home Cardiology PC PastSince Feb 26, 2023 Accepting new patients

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1104898352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 CHESTER PIKE",
            "address_2": "SUITE 130",
            "city": "EDDYSTONE",
            "state": "PA",
            "postal_code": "190221375",
            "telephone_number": "610-521-6063",
            "fax_number": "610-521-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 CHESTER PIKE",
            "address_2": "SUITE 130",
            "city": "EDDYSTONE",
            "state": "PA",
            "postal_code": "190221375",
            "telephone_number": "610-521-6063",
            "fax_number": "610-521-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ALAN",
        "middle_name": "R.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051310",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA051310",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00106500",
            "primary": false
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "PA",
            "license": "MA051310",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103970",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000804",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eddystone, PA

Sources for this page

Verify at the official NPI Registry.