Individual provider Active NPI

Rebekah Taylor, CRNP

  • Family Nurse Practitioner
  • Cullman, AL
National Provider Identifier
1114566858
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1137207 Issued in AL
Practice address
1800 Al Highway 157 Ste 302
Cullman, AL 35058-1273
Phone
(256) 736-6224
Fax
(256) 736-6226
NPI assigned
Dec 28, 2019
Last updated
Dec 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1137207 AL Primary

Addresses

Primary practice location

1800 Al Highway 157 Ste 302
Cullman, AL 35058-1273

Mailing address

1800 Al Highway 157
Ste 302
Cullman, AL 35058-1273
Phone (256) 736-6224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20210820002351 AL Practitioner - Nurse Practitioner 5294130761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hometown Medical GroupGroup PAC ID 7911376926, 3 clinicians

Practice addresses (Care Compare)

1705 Main Ave SW
Suite B
Cullman, AL 35055-7207

1935 Main Ave SW
Suite a
Cullman, AL 35055-5218
Phone (256) 965-0340

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1137207ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Medical Group CurrentSince Oct 4, 2024 Accepting new patients
Cullman Primary Care, PC PastSince Aug 15, 2021 Accepting new patients

Locations

1705 Main Ave SW
Ste B
Cullman, AL 35055
Phone (256) 735-5075

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHGJCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FHGJCD/Endpoint/FHGJCD

Organizations & group practices 2

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 1

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": "1577491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1114566858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 AL HIGHWAY 157",
            "address_2": "STE 302",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350581273",
            "telephone_number": "256-736-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 AL HIGHWAY 157 STE 302",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350581273",
            "telephone_number": "256-736-6224",
            "fax_number": "256-736-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "REBEKAH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-28",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1137207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.