Individual provider Active NPI

Natalie Esannason Taylor, PA-C

  • Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1114156031
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003051 Issued in VA
Practice address
1060 First Colonial Road
Tidewater Integrated Medical Services, PLLC
Virginia Beach, VA 23454-3002
Phone
(757) 340-3489
Fax
(757) 340-4278
NPI assigned
Jul 13, 2009
Last updated
Sep 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0004005 MD
Physician Assistant 363A00000X 0110003051 VA Primary

Addresses

Primary practice location

1060 First Colonial Road
Tidewater Integrated Medical Services, PLLC
Virginia Beach, VA 23454-3002

Mailing address

PO Box 2546
Virginia BCH, VA 23450-2546
Phone (757) 340-3489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110923000357 VA Practitioner - Physician Assistant 7618023946 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SNF Physiatry Services VA LLCGroup PAC ID 9032649769, 3 clinicians

Practice addresses (Care Compare)

150 Riverside Pkwy
FL 1
Fredericksburg, VA 22406-1094
Phone (732) 813-0799

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0004005MDMDPhysician Assistant
0110003051VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Better Outcomes LT Care LLC CurrentSince Sep 15, 2025 Accepting new patients
Newbridge Spine and Pain Center LLC Past Accepting new patients

Locations

6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1114156031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2546",
            "city": "VIRGINIA BCH",
            "state": "VA",
            "postal_code": "234502546",
            "telephone_number": "757-340-3489",
            "fax_number": "757-340-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 FIRST COLONIAL ROAD",
            "address_2": "TIDEWATER INTEGRATED MEDICAL SERVICES, PLLC",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543002",
            "telephone_number": "757-340-3489",
            "fax_number": "757-340-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "NATALIE",
        "middle_name": "ESANNASON",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004005",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.