Individual provider Active NPI

Sonia Desiree Taylor, RN, BSN, MSN

  • Nurse Practitioner
  • Zeeland, MI
National Provider Identifier
1124037148
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704150967 Issued in MI
Practice address
8333 Felch St
Suite 200
Zeeland, MI 49464-1698
Phone
(616) 748-2850
Fax
(616) 748-2855
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704150967 MI Primary

Addresses

Primary practice location

8333 Felch St
Suite 200
Zeeland, MI 49464-1698

Mailing address

8333 Felch St
Suite 200
Zeeland, MI 49464-1698
Phone (616) 748-2850

Other identifiers 1

IdentifierTypeStateIssuer
4704150967OtherMINURSE PRACTITIONER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060906000364 MI Practitioner - Nurse Practitioner 4082618004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Borgess Allegan HospitalGroup PAC ID 5092750356, 17 clinicians

Practice addresses (Care Compare)

551 Linn St
Allegan, MI 49010-1595
Phone (269) 686-4926

Hospital & facility affiliations

  • Beacon Allegan Hospital, Allegan, MI, CCN 231328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704150967MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Borgess Allegan Hospital CurrentSince Dec 28, 2019 Accepting new patients
Ascension Borgess Allegan Hospital Current Accepting new patients
Ascension Borgess Allegan Hospital CurrentSince Dec 28, 2019 Accepting new patients
Ascension Borgess Allegan Hospital Past Accepting new patients

Locations

551 Linn St
Allegan, MI 49010
Phone (269) 686-5800

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sonia.taylor.p1@direct.alleganfamilyhealth.nextgenshare.com

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 and National Provider Directory roles.

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1124037148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 FELCH ST",
            "address_2": "SUITE 200",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641698",
            "telephone_number": "616-748-2850",
            "fax_number": "616-748-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 FELCH ST",
            "address_2": "SUITE 200",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641698",
            "telephone_number": "616-748-2850",
            "fax_number": "616-748-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SONIA",
        "middle_name": "DESIREE",
        "credential": "RN, BSN, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704150967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "4704150967",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zeeland, MI

Sources for this page

Verify at the official NPI Registry.