Active NPI
Laurie Rich Taylor, FNP-C
- Family Nurse Practitioner
- Danville, VA
National Provider Identifier
1114378106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024173661
- Practice address
- 541 Bridge Street
Suite 1
Danville, VA 24541 - Phone
- (434) 483-2504
- Fax
- (434) 483-2506
- NPI assigned
- Jun 30, 2016
- Last updated
- Nov 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5013462 | NC | |
| Family Nurse Practitioner | 363LF0000X | 0024173661 | VA | Primary |
Addresses
Primary practice location
541 Bridge Street
Suite 1
Danville, VA 24541
Mailing address
541 Bridge Street
Suite 1
Danville, VA 24541
Phone (434) 483-2504
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250217000115 | VA | Order and Referring Only - Nurse Practitioner | 1456639467 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5013462 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Careteam, LLC | Current | Accepting new patients |
Locations
541 Bridge St
Ste 1
Danville, VA 24541
Phone (434) 483-2504
Interoperability endpoints
- laurie.taylor.1@17374.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, 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": "1467244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1114378106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 BRIDGE STREET",
"address_2": "SUITE 1",
"city": "DANVILLE",
"state": "VA",
"postal_code": "24541",
"telephone_number": "434-483-2504",
"fax_number": "434-483-2506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 BRIDGE STREET",
"address_2": "SUITE 1",
"city": "DANVILLE",
"state": "VA",
"postal_code": "24541",
"telephone_number": "434-483-2504",
"fax_number": "434-483-2506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "LAURIE",
"middle_name": "RICH",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-30",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5013462",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024173661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.